Organization
AGP SUPPORT SERVICES
Active
Other names
AGP Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA M JEANTY-EDMOND (OWNER)
(609) 401-7996
Entity
Organization
Contact information
Practice address
148 MEMORIAL LN, MOUNT LAUREL, NJ 08054-2032
(609) 401-7996
(856) 724-2730
Mailing address
148 MEMORIAL LN, MOUNT LAUREL, NJ 08054-2032
(609) 401-7996
(856) 724-2730
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
06/26/2025
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