Organization
AGAPE NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA GABRIELA VARGAS (FINANCE DIRECTOR)
(305) 235-2616
Entity
Organization
Contact information
Practice address
11000 SW 220TH ST, MIAMI, FL 33170-3016
(305) 235-2616
Mailing address
22790 SW 112TH AVE, MIAMI, FL 33170-7602
(305) 235-2616
(305) 235-6178
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000199000
—
FL
01
—
306725
WELLCARE
FL
05
—
360010600
—
FL
Enumeration date
10/07/2020
Last updated
10/07/2020
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