Organization
AGAPE IN HOME CARE OF GA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY KELLY (OWNER)
(678) 675-2955
Entity
Organization
Contact information
Practice address
239 WILSON CIR, NEWNAN, GA 30263-5595
(678) 675-2955
Mailing address
239 WILSON CIR, NEWNAN, GA 30263-5595
(678) 675-2955
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
038-R-1105
GA
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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