Provider Demographics
NPI:1104264621
Name:AGAPE ASSOCIATES INC
Entity type:Organization
Organization Name:AGAPE ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:CHUKWUKA
Authorized Official - Last Name:ONYEUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-222-5904
Mailing Address - Street 1:164 35TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-2504
Mailing Address - Country:US
Mailing Address - Phone:202-222-5904
Mailing Address - Fax:
Practice Address - Street 1:164 35TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-2504
Practice Address - Country:US
Practice Address - Phone:202-222-5904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR190859253Z00000X
DCC00004559912253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care