Organization
AGAPE HOME HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLANDA MARIE MONTGOMERY (CEO)
(937) 279-9943
Entity
Organization
Contact information
Practice address
4425 THOMPSON DR, TROTWOOD, OH 45416-2237
(937) 279-9943
Mailing address
4425 THOMPSON DR, TROTWOOD, OH 45416-2237
(937) 279-9943
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2783180
—
OH
01
—
5708489
ODMRDD CONTRACT NUMBER
OH
Enumeration date
02/08/2010
Last updated
02/08/2010
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