Organization
AGAPE MEDICAL SERVICES
Active
Other names
AGAPE MEDICAL PRODUCTS AND SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY ANTHONY WILLIS (OWNER)
(601) 948-0009
Entity
Organization
Contact information
Practice address
1075 PECAN PARK CIR, JACKSON, MS 39209-6914
(601) 948-0009
(601) 948-0079
Mailing address
1075 PECAN PARK CIR, JACKSON, MS 39209-6914
(601) 948-0009
(601) 948-0079
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
05799111
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440338
—
MS
Enumeration date
05/18/2007
Last updated
08/22/2020
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