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Organization
AGAPE COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY, INC.
Active
Organization
AGAPE COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY, INC.
Active
Other names
Agape Rehabilitation Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH ROBINSON (PRESIDENT)
(318) 572-0795
Entity
Organization
Contact information
Practice address
2835 HOLLYWOOD AVE, SHREVEPORT, LA 71108-3848
(318) 631-4181
(318) 525-0422
Mailing address
2835 HOLLYWOOD AVE, SHREVEPORT, LA 71108-3848
(318) 631-4181
(318) 525-0422
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1471933
—
LA
Enumeration date
03/15/2009
Last updated
03/15/2009
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