Organization
AGAP CONSUMER DIRECTED SERVICES, LLC
Active
Other names
Good Old Days - At Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN ANITA TAYLOR ADMINISTRATOR (ADMINISTRATOR)
(804) 723-1374
Entity
Organization
Contact information
Practice address
8090 MECHANICSVILLE TPKE STE F, MECHANICSVILLE, VA 23111-1204
(804) 723-1374
(804) 591-0384
Mailing address
PO BOX 951, MECHANICSVILLE, VA 23111-0951
(804) 723-1374
(804) 591-0384
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
VA
253Z00000X
In Home Supportive Care Agency
HCO-171518
VA
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093105140
—
VA
Enumeration date
01/28/2015
Last updated
01/02/2025
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