# AGAPE FAMILY HOME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528506086
- **Authorized official:** RACHEAL CHRISTIANA BUNDOR LPN (OWNER)
- **Authorized official phone:** (267) 408-2202

## Contact information

- **Practice address:** 2604 JOHNSON RD, UPPER CHICHESTER, PA 19061-3523
- **Practice address phone:** (267) 408-2202
- **Mailing address:** 2604 JOHNSON RD, UPPER CHICHESTER, PA 19061-3523
- **Mailing address phone:** (267) 408-2202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 103027299 | PA | — |
| 163WC0400X | Case Management Registered Nurse | 103027299 | PA | — |
| 163WC1500X | Community Health Registered Nurse | 103027299 | PA | — |
| 163WG0000X | General Practice Registered Nurse | 103027299 | PA | — |
| 163WG0100X | Gastroenterology Registered Nurse | 103027299 | PA | — |
| 163WG0600X | Gerontology Registered Nurse | 103027299 | PA | — |
| 163WI0500X | Infusion Therapy Registered Nurse | 103027299 | PA | — |
| 163WI0600X | Infection Control Registered Nurse | 103027299 | PA | — |
| 163WM0705X | Medical-Surgical Registered Nurse | 103027299 | PA | — |
| 163WP0000X | Pain Management Registered Nurse | 103027299 | PA | — |
| 163WR0400X | Rehabilitation Registered Nurse | 103027299 | PA | — |
| 163WW0000X | Wound Care Registered Nurse | 103027299 | PA | — |
| 163WX1500X | Ostomy Care Registered Nurse | 103027299 | PA | — |
| 164W00000X | Licensed Practical Nurse | 103027299 | PA | Yes |
| 253Z00000X | In Home Supportive Care Agency | 103027299 | PA | — |

## Other

- **Enumeration date:** 02/05/2017
- **Last updated:** 03/14/2017