Provider Demographics
NPI:1124308960
Name:AGAPE LOVE HOMECARE & MIHP,INC
Entity type:Organization
Organization Name:AGAPE LOVE HOMECARE & MIHP,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-778-9632
Mailing Address - Street 1:1230 COOLIDGE HWY
Mailing Address - Street 2:
Mailing Address - City:RIVER ROUGE
Mailing Address - State:MI
Mailing Address - Zip Code:48218-1478
Mailing Address - Country:US
Mailing Address - Phone:313-778-9632
Mailing Address - Fax:734-629-8287
Practice Address - Street 1:1230 COOLIDGE HWY
Practice Address - Street 2:
Practice Address - City:RIVER ROUGE
Practice Address - State:MI
Practice Address - Zip Code:48218-1478
Practice Address - Country:US
Practice Address - Phone:313-778-9632
Practice Address - Fax:734-629-8287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare