Provider Demographics
NPI:1215783386
Name:AGAPE LOVE HOME HEALTH
Entity type:Organization
Organization Name:AGAPE LOVE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIETA
Authorized Official - Middle Name:
Authorized Official - Last Name:DALPHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-226-0687
Mailing Address - Street 1:380 S MELROSE DR STE 127
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-6641
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:380 S MELROSE DR STE 127
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-6641
Practice Address - Country:US
Practice Address - Phone:949-226-0687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health