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General NPI Number Information
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NPI Number | 1043450125
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Entity Type | Organization
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Legal Business Name | AGAPE HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 03/02/2009
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 1502 S JOHN REDDITT DR
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City | LUFKIN
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State | TX
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Zip | 75904-5454
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Country | US
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Telephone | 936-632-4273
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Fax | 936-632-4275
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Provider Business Mailing Address
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Address Line | 1502 S JOHN REDDITT DR
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City | LUFKIN
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State | TX
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Zip | 75904-5454
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Country | US
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Telephone | 936-632-4273
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Fax | 936-632-4275
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Authorized Official
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Title or Position | VP OF OPS
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Name | CASEY ALLEN WILSON
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Credential |
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Telephone | 936-856-6888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | TX
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