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Organization

AGAPE HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT LEYVA (MANAGING MEMBER)
(575) 420-1348
Entity
Organization

Contact information

Practice address
606 W 2ND ST, ROSWELL, NM 88201-4616
(505) 622-1837
(505) 622-1838
Mailing address
PO BOX 3372, ROSWELL, NM 88202-3372
(505) 622-1837
(505) 622-1838

Taxonomy

Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7290905
NM
Enumeration date
05/29/2008
Last updated
05/29/2008
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