Organization
AGAPE COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY, INC.
Active
Other names
Agape Rehabilitation Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH ROBINSON (PRESIDENT)
(318) 572-0795
Entity
Organization
Contact information
Practice address
2835 HOLLYWOOD AVE, SHREVEPORT, LA 71108-3848
(318) 631-4181
(318) 525-0422
Mailing address
2835 HOLLYWOOD AVE, SHREVEPORT, LA 71108-3848
(318) 631-4181
(318) 525-0422
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1471933
—
LA
Enumeration date
03/15/2009
Last updated
03/15/2009
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