Organization
AGAPE TRADERS
Active
Other names
Lili Clarke, inc
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LIRIETH WEST (CEO)
(610) 608-0890
Entity
Organization
Contact information
Practice address
562 INDEPENDENCE RD STE 142, EAST STROUDSBURG, PA 18301-9702
(610) 608-0890
Mailing address
562 INDEPENDENCE RD STE 142, EAST STROUDSBURG, PA 18301-9702
(610) 608-0890
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
12/27/2019
Last updated
01/09/2020
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