Organization
AGAPE PERSONAL CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELECIA R JACOB-LEWIS (ADMINISTRATOR)
(225) 751-2409
Entity
Organization
Contact information
Practice address
5917 JONES CREEK RD, STE 200A, BATON ROUGE, LA 70817-3000
(225) 751-2409
(225) 751-2466
Mailing address
PO BOX 77710, BATON ROUGE, LA 70879-7710
(225) 751-2049
(225) 757-2466
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PCA 15083
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCA 15083
DEPT OF DEPT OF HEALTH & HOSPITALS
LA
Enumeration date
08/13/2008
Last updated
08/13/2008
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