Organization
AGAPE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALIN BUZAS (PROVIDER)
(360) 433-5496
Entity
Organization
Contact information
Practice address
4613 NE WORK AVE, VANCOUVER, WA 98663-2159
(360) 993-7734
Mailing address
4613 NE WORK AVE, VANCOUVER, WA 98663-2159
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
751006
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
602731757
WA UBI
WA
Enumeration date
01/10/2018
Last updated
06/16/2018
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