Organization
AGAPE ADC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENICIA POWELL (ADMINISTRATOR)
(702) 606-8535
Entity
Organization
Contact information
Practice address
3672 N RANCHO DR, LAS VEGAS, NV 89130-3149
(702) 685-1600
Mailing address
3650 N RANCHO DR STE 106, LAS VEGAS, NV 89130-3151
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2020
Last updated
01/19/2020
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