Organization
AGAPE COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIA L JONES (CEO)
(904) 253-1069
Entity
Organization
Contact information
Practice address
120 KING ST, JACKSONVILLE, FL 32204-2410
(904) 760-4904
(904) 930-4607
Mailing address
120 KING ST, JACKSONVILLE, FL 32204-2410
(904) 760-4904
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
N04000004094
FL
Other
Enumeration date
12/21/2015
Last updated
09/09/2020
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