Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health or Welfare |
251K00000X | 60 | Public Health or Welfare Agency | |
Community/Behavioral Health |
251S00000X |
| NPI Number | 1518573096 |
| LBN Legal business name | AGILE TECHNOLOGIES LLC |
| Authorized official | RODERICK MARTIN - (MANAGING MEMBER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/19/2020 |
| Last updated | 09/19/2020 - About 6 years ago |
| Identifiers | n/a |
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