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General NPI Number Information
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NPI Number | 1386895878
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Entity Type | Organization
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Legal Business Name | AGAPE FAMILY CAREGIVERS
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 633 BURLINGAME ST
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City | DETROIT
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State | MI
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Zip | 48202-1004
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Country | US
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Telephone | 517-579-0574
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Fax | 313-826-7864
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Provider Business Mailing Address
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Address Line | 633 BURLINGAME ST
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City | DETROIT
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State | MI
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Zip | 48202-1004
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Country | US
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Telephone | 517-579-0574
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Fax | 313-826-7864
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SUSAN YVETTE JONES
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Credential |
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Telephone | 866-471-6801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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