Organization
AGAPE HEALTH AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY (J.R.) RANDAL LEWIS (CHIEF MANAGER)
(423) 975-5455
Entity
Organization
Contact information
Practice address
2020 NORTHPARK, SUITE 2F, JOHNSON CITY, TN 37604-3127
(423) 975-5455
(423) 975-5405
Mailing address
2020 NORTHPARK, SUITE 2F, JOHNSON CITY, TN 37604-3127
(423) 975-5455
(423) 975-5405
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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