Organization
AGAPE WAVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMRON W JACKSON (OWNER)
(816) 214-3009
Entity
Organization
Contact information
Practice address
6840 PROSPECT AVE, KANSAS CITY, MO 64132-1302
(816) 214-3009
Mailing address
3519 CYPRESS AVE, KANSAS CITY, MO 64128-2838
(816) 214-3009
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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