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NPI Code Detail

MEDICARE: AGAPE CARE & SERVICES

MEDICARE: AGAPE CARE & SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1013761279
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGAPE CARE & SERVICES
Provider Business Mailing Address
First Line : 3692 WHITE PINE DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40514-1741
Country : US
Telephone Number : 317-941-5720
Fax Number :
Provider Business Practice Location Address
First Line : 3692 WHITE PINE DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40514-1741
Country : US
Telephone Number : 317-941-5720
Fax Number :
Authorized Official
Title or Position : CO-OWNER
Name : MRS. GRACE EBIKWO
Credential :
Telephone Number : 317-941-5720
Provider Enumeration Date : 04/15/2024
Last Update Date : 04/15/2024

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Directions to “AGAPE CARE & SERVICES ” Practice Location

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