Organization
AGAPE HOSPICE CARE OF RUSTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN C GAMBLE (MANAGING MEMBER)
(318) 798-2648
Entity
Organization
Contact information
Practice address
1503 GOODWIN RD, SUITE 101, RUSTON, LA 71270-2948
(318) 513-1112
Mailing address
1503 GOODWIN RD, SUITE 101, RUSTON, LA 71270-2948
(318) 513-1112
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
09/02/2010
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