Organization
AGAPE CARE ADULT DAY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OJUKWU ABIAKAM (CHIEF OPERATIONS OFFICER)
(303) 368-7200
Entity
Organization
Contact information
Practice address
3131 S VAUGHN WAY, STE 110, AURORA, CO 80014-3511
(303) 368-7200
(303) 368-7202
Mailing address
3131 S VAUGHN WAY, STE 110, AURORA, CO 80014-3511
(303) 368-7200
(303) 368-7202
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
21952531
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21952531
MEDICAID
CO
Enumeration date
09/28/2015
Last updated
09/28/2015
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