Organization
AGAPE'S LOVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE THOMAS (MANAGER)
(602) 824-8352
Entity
Organization
Contact information
Practice address
16682 N WEST POINT PKWY APT 123, SURPRISE, AZ 85374-4056
(602) 824-8352
(602) 325-0339
Mailing address
16682 N WEST POINT PKWY APT 123, SURPRISE, AZ 85374-4056
(602) 824-8352
(602) 325-0339
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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