Organization
AGAPE ADULT DAY SERVICES AND RECREATIONAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELIZABETH MICHELLE WOODS LMSW (OWNER/ADMINISTRATOR)
(662) 719-6288
Entity
Organization
Contact information
Practice address
141 SUNSET LOOP, GRENADA, MS 38901-4429
(662) 307-2584
Mailing address
PO BOX 2087, GRENADA, MS 38902-2087
(662) 307-2584
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2015
Last updated
07/30/2015
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