Organization
AGAPE' COMPREHENSIVE HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA L. GROOMS RN BSN MS (CEO)
(580) 351-2273
Entity
Organization
Contact information
Practice address
207 SW C AVE, LAWTON, OK 73501-4648
(580) 351-2273
(580) 351-1475
Mailing address
207 SW C AVE, LAWTON, OK 73501-4648
(580) 351-2273
(580) 351-1475
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7296
OK
Other
Enumeration date
05/24/2007
Last updated
06/20/2012
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