Organization
AGAPE CONSULTANT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY N MATTOX RN,MSN,MBA (OWNER-SOLE PROPRIETOR)
(540) 420-4299
Entity
Organization
Contact information
Practice address
284 MCNEIL MILL RD, ROCKY MOUNT, VA 24151-3504
(540) 819-8346
(188) 844-8974
Mailing address
PO BOX 2146, ROCKY MOUNT, VA 24151-8446
(540) 420-4299
(188) 844-8974
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0001170205
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518226653
INDIVIDUAL NPI-CATHY MATTOX
—
Enumeration date
04/30/2014
Last updated
04/30/2014
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