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General NPI Number Information
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NPI Number | 1427199686
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Entity Type | Organization
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Legal Business Name | AGAPE HOME SERVICES, INC
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5821 MINERS POINT CT
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City | JACKSONVILLE
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State | FL
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Zip | 32218-7325
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Country | US
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Telephone | 904-768-7258
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Fax |
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Provider Business Mailing Address
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Address Line | 5821 MINERS POINT CT
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City | JACKSONVILLE
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State | FL
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Zip | 32218-7325
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Country | US
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Telephone | 904-768-7258
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. PATRICIA S. WASHINGTON
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Credential | M.S.ED.
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Telephone | 904-768-7258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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