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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 Specialty Code Provider Type

Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

261QR0401X B4[14] Comprehensive Outpatient Rehabilitation Facility
Indicates primary specialty

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

NPI Number 1225279656
LBN Legal business name AGAPE COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY, INC.
Authorized official KEITH ROBINSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/15/2009
Last updated 03/15/2009 - About 17 years ago
Identifiers
LA Medicaid 1471933
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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