Organization
AGAPE LOVE COMMUNITY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERMAINE AKEEM PRINCE (OWNER)
(832) 707-5907
Entity
Organization
Contact information
Practice address
2750 W MCDOWELL RD, PHOENIX, AZ 85009-2605
(832) 707-5907
Mailing address
2750 W MCDOWELL RD, PHOENIX, AZ 85009-2605
(832) 707-5907
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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