Organization
AGAPE LOVE HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI PATRICE KING (DIRECTOR)
(314) 322-1557
Entity
Organization
Contact information
Practice address
1628 EMERALD CREEK DR, FLORISSANT, MO 63031-2046
(314) 322-1557
Mailing address
1628 EMERALD CREEK DR, FLORISSANT, MO 63031-2046
(314) 322-1557
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC001428754
STATE OF MISSOURI CHARTER NUMBER
MO
Enumeration date
10/12/2015
Last updated
10/12/2015
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