Organization
AGAPE HEALTHCARE SYSTEMS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA HOLT (OWNER)
(252) 537-2473
Entity
Organization
Contact information
Practice address
1015 ROANOKE AVE, ROANOKE RAPIDS, NC 27870-3722
(252) 537-2473
(888) 315-1326
Mailing address
1015 ROANOKE AVE, ROANOKE RAPIDS, NC 27870-3722
(252) 537-2473
(888) 315-1326
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
Primary
HC2914
NC
251S00000X
Community/Behavioral Health Agency
—
—
291U00000X
Clinical Medical Laboratory
LH00422
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601634
—
NC
Enumeration date
10/03/2006
Last updated
04/06/2011
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