Organization
AGAPE YOUTH HOMES LLC
Active
Parent organization
JORDAN RIVER GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JORDAN RIVER GROUP LLC
Authorized official
MRS. MARGARET MELANIE JORDAN MSTR HMN SVC COUNC (CHIEF OPERATING OFFICER)
(964) 918-7940
Entity
Organization
Contact information
Practice address
3905 NW 89TH WAY, CORAL SPRINGS, FL 33065-4476
(954) 918-7948
Mailing address
3905 NW 89TH WAY, CORAL SPRINGS, FL 33065-4476
(954) 918-7948
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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