Organization
AGAPE PCS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FELECIA RENEE JACOB-LEWIS DEGREED (ADMINISTRATOR)
(225) 751-2409
Entity
Organization
Contact information
Practice address
5917 JONES CREEK RD, STE 200A, BATON ROUGE, LA 70817-3000
(225) 751-2409
(225) 751-2466
Mailing address
5917 JONES CREEK RD, STE 200A, BATON ROUGE, LA 70817-3000
(225) 751-2409
(225) 751-2466
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15083
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15083
—
LA
Enumeration date
07/08/2013
Last updated
07/08/2013
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