Organization
AGAPE TOTAL CARE, L.L.C.
Active
Organization
AGAPE TOTAL CARE, L.L.C.
Active
Other names
Agape Adult Day Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE MARIE WALLS (EXECUTIVE DIRECTOR/QMRP)
(337) 942-5570
Entity
Organization
Contact information
Practice address
9353 HIGHWAY 182, LOT B, OPELOUSAS, LA 70570-1204
(337) 942-5535
(337) 942-5078
Mailing address
9353 HIGHWAY 182, LOT B, OPELOUSAS, LA 70570-1204
(337) 942-5535
(337) 942-5078
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
PCA6831
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033384367
—
LA
05
—
1326223868
—
LA
05
—
1538343447
—
LA
05
—
1891979598
—
LA
05
—
1891979704
—
LA
Enumeration date
11/25/2009
Last updated
11/25/2009
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