Organization
AGAPE NETWORK, INC.
Active
Other names
South Florida Jail Ministries, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY S. LULL MS (PROGRAM COORDINATOR)
(561) 972-7771
Entity
Organization
Contact information
Practice address
22790 S.W. 112 AVENUE, MIAMI, FL 33170-7602
(305) 235-2616
(305) 235-6178
Mailing address
22790 S.W. 112 AVENUE, MIAMI, FL 33170-7602
(305) 235-2616
(305) 235-6178
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1113AD123002
FL
324500000X
Substance Abuse Rehabilitation Facility
1113AD123001
FL
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
01/18/2007
Last updated
01/25/2024
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