National Provider Identifier Database

AGAPE COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY INC
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)


Contact Information

AGAPE COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY, INC.
2835 HOLLYWOOD AVE
SHREVEPORT, LA71108-3848
Phone: 318-631-4181
Fax: 318-525-0422
Website:
Specialty Taxonomy Code
* Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for AGAPE COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY, INC.

NPI Number 1225279656
Legal business name
LBN
AGAPE COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY, INC.
Authorized official KEITH ROBINSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/15/2009
Last updated 03/15/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • LA Medicaid: 1471933

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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