Organization Name: | AGAPE ADULT DAY SERVICES AND RECREATIONAL CENTER, LLC |
NPI Number: | 1326423492 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH MICHELLE WOODS (OWNER/ADMINISTRATOR) |
Mailing Address: | 141 Sunset Loop Grenada |
State: | MS US |
Postal Code: | 389014429 |
Phone Number: | 6623072584 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2015 |
NPI Last Update Date: | 07/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |