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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