Organization
AGAPE NURSE REGISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEYDI LISETTE MARTINEZ (PRESIDENT)
(786) 970-0293
Entity
Organization
Contact information
Practice address
3802 W 12TH AVE, HIALEAH, FL 33012-4127
(786) 314-2422
(305) 270-7114
Mailing address
3802 W 12TH AVE, HIALEAH, FL 33012-4127
(786) 314-2422
(305) 270-7114
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10077300
—
FL
Enumeration date
11/27/2017
Last updated
09/21/2022
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