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General NPI Number Information
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NPI Number | 1851251425
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Entity Type | Organization
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Legal Business Name | AGAPECARE SERVICES LLC
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 6106 LEE AVE N
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City | BROOKLYN CENTER
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State | MN
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Zip | 55429-2476
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Country | US
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Telephone | 610-202-6770
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Fax | 952-516-5152
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Provider Business Mailing Address
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Address Line | 10913 131ST AVE N
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City | CHAMPLIN
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State | MN
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Zip | 55316-1143
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Country | US
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Telephone | 610-202-6770
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Fax | 952-516-5152
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Authorized Official
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Title or Position | LALD
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Name | MS. PENNINAH OBWAYA
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Credential | RN/MSN/LALD
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Telephone | 610-202-6770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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