Organization
AGAPE HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AJIBOLA A AYENI (ADMINISTRATOR)
(847) 696-1350
Entity
Organization
Contact information
Practice address
444 N NORTHWEST HWY, SUITE 320, PARK RIDGE, IL 60068-3277
(847) 696-1350
(847) 696-1370
Mailing address
444 N NORTHWEST HWY, SUITE 320, PARK RIDGE, IL 60068-3277
(847) 696-1350
(847) 696-1370
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011763
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147992
MEDICARE PROVIDER
IL
Enumeration date
01/23/2007
Last updated
12/10/2014
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