Organization
HOUSE OF AGAPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE DENISE BLACKWELL (OWNER/CEO)
(682) 551-9173
Entity
Organization
Contact information
Practice address
8109 CLOVERGLEN LN, FORT WORTH, TX 76123
(682) 551-9173
Mailing address
8109 CLOVERGLEN LN, FORT WORTH, TX 76123-2018
(682) 551-9173
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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