Organization
AGAPE HOME PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ELAINE RODRIGUEZ BSN, RN (OWNER/OPERATOR)
(316) 339-0076
Entity
Organization
Contact information
Practice address
6322 PEACH TREE LN, WICHITA, KS 67218-1820
(163) 390-0763
Mailing address
PO BOX 326, ANDOVER, KS 67002-0326
(316) 253-7910
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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