Organization
AGAPE PERFECT CARE LLC
Active
Other names
Agape Perfect Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN IRENE HICKSON (PROGRAM ADMINSTRATOR)
(817) 715-9030
Entity
Organization
Contact information
Practice address
2609 JACKSBORO HWY, RIVER OAKS, TX 76114-2242
(817) 715-9030
Mailing address
2609 JACKSBORO HWY, RIVER OAKS, TX 76114-2242
(817) 715-9030
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
07/03/2009
Last updated
05/08/2024
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