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NPI Code Detail

MEDICARE: AGAPE CARE LLC

MEDICARE: AGAPE CARE LLC
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
1251E00000XHome Health Agency10H563CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205967403
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGAPE CARE LLC
Provider Business Mailing Address
First Line : 54783 ME RD
Second Line :
City : COLLBRAN
State : CO
Zip : 81624-9722
Country : US
Telephone Number : 970-250-5655
Fax Number : 970-487-3231
Provider Business Practice Location Address
First Line : 54783 ME RD
Second Line :
City : COLLBRAN
State : CO
Zip : 81624-9722
Country : US
Telephone Number : 970-250-5655
Fax Number : 970-487-3231
Authorized Official
Title or Position : MANAGER OF SERVICES
Name : CHAN P REID
Credential :
Telephone Number : 970-250-5655
Provider Enumeration Date : 03/08/2007
Last Update Date : 08/22/2020

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Directions to “AGAPE CARE LLC ” Practice Location

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