Organization
AGAPE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD FOORD (OWNER/PRESIDENT)
(757) 291-6016
Entity
Organization
Contact information
Practice address
350 MCLAWS CIR, SUITE 2, WILLIAMSBURG, VA 23185-6348
(757) 291-6016
(757) 229-6185
Mailing address
PO BOX 688, WILLIAMSBURG, VA 23187-0688
(757) 291-6016
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
HCO-14809
VA
251E00000X
Home Health Agency
HCO-14809
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153531394
—
VA
05
—
0153531980
—
VA
05
—
0165327625
—
VA
Enumeration date
07/27/2014
Last updated
07/27/2014
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