Organization
AGAPE COMMUNITY HEALTH MOBILE UNIT
Active
Parent organization
AGAPE COMMUNITY HEALTH CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AGAPE COMMUNITY HEALTH CENTER, INC
Authorized official
SHENITA SMITH (BUSINESS COORDINATOR)
(904) 800-6347
Entity
Organization
Contact information
Practice address
1880 EDGEWOOD AVE W, JACKSONVILLE, FL 32208-3021
(904) 760-4904
Mailing address
5460 BLANDING BLVD, JACKSONVILLE, FL 32244-1957
(904) 800-6347
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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