| Organization Name: | AGAPELIFE HEALTH GROUP, LLC |
| NPI Number: | 1164783494 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREA I HART (OWNER, AGENCY DIRECTOR) |
| Mailing Address: | 12187 Beach Blvd Suite 7 Jacksonville |
| State: | FL US |
| Postal Code: | 322460676 |
| Phone Number: | 9048079955 |
| Fax Number: | 9048079954 |
| NPI Enumeration Date: | 06/04/2012 |
| NPI Last Update Date: | 03/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 299994085 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |