Organization
AGAPE COMMUNITY HEALTH CENTERS, INC
Active
Parent organization
AGAPE COMMUNITY HEALTH CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AGAPE COMMUNITY HEALTH CENTER, INC.
Authorized official
JAMES HAYDEN (CREDENTIALING CONSULTANT)
(937) 825-8631
Entity
Organization
Contact information
Practice address
1680 DUNN AVE STE 38, JACKSONVILLE, FL 32218-4744
(904) 769-4904
Mailing address
120 KING ST, JACKSONVILLE, FL 32204-2410
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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