Organization
AGAPE GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIJUANA WILLIAMS (OWNER)
(520) 350-2360
Entity
Organization
Contact information
Practice address
43605 W CAVEN DR, MARICOPA, AZ 85138-2442
(520) 350-2360
Mailing address
PO BOX 836, MARICOPA, AZ 85139-0298
(520) 350-2360
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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