# HOUSE OF AGAPE

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

## Provider details

- **NPI number:** 1972851673
- **Authorized official:** MRS. CHRISTINE DENISE BLACKWELL (OWNER/CEO)
- **Authorized official phone:** (682) 551-9173

## Contact information

- **Practice address:** 8109 CLOVERGLEN LN, FORT WORTH, TX 76123
- **Practice address phone:** (682) 551-9173
- **Mailing address:** 8109 CLOVERGLEN LN, FORT WORTH, TX 76123-2018
- **Mailing address phone:** (682) 551-9173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/28/2012
- **Last updated:** 08/28/2012