Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Clinic/Center |
261Q00000X |
| NPI # | 1134443351 |
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| LBN Legal business name | AGAPE SERVICES INC | ||||||||||||||||
| Authorized official | WILLIAM MASSEY - (CEO) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 03/17/2010 | ||||||||||||||||
| Last updated | 05/12/2011 - About 15 years ago | ||||||||||||||||
| Identifiers |
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