Organization
AGAPE HOME PERSONAL CARE
Active
Other names
Agape HCP LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAPORA JACKSON (OWNER / PRESIDENT)
(317) 282-3850
Entity
Organization
Contact information
Practice address
5753 BUR OAK PL, INDIANAPOLIS, IN 46254-1492
(317) 282-3850
Mailing address
5753 BUR OAK PL, INDIANAPOLIS, IN 46254-1492
(317) 282-3850
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
IN
05
—
000000000
—
IN
Enumeration date
12/10/2020
Last updated
12/22/2020
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