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General NPI Number Information
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NPI Number | 1144103722
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Entity Type | Organization
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Legal Business Name | AGAPE LOVE HOME HEALTH
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 604 MATTHEWS AVE
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City | SIKESTON
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State | MO
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Zip | 63801-3259
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Country | US
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Telephone | 314-562-5471
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Fax |
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Provider Business Mailing Address
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Address Line | 604 MATTHEWS AVE
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City | SIKESTON
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State | MO
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Zip | 63801-3259
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Country | US
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Telephone | 314-562-5471
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTA SMITH
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Credential |
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Telephone | 314-562-5471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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