Provider Demographics
NPI:1306082086
Name:AGAPE ZOE CARE SERVICES
Entity type:Organization
Organization Name:AGAPE ZOE CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TOLU
Authorized Official - Middle Name:O
Authorized Official - Last Name:ADEMODI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-275-4861
Mailing Address - Street 1:4157 WEST BROAD STREET
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228
Mailing Address - Country:US
Mailing Address - Phone:614-275-4861
Mailing Address - Fax:614-275-4897
Practice Address - Street 1:4157 WEST BROAD STREET
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228
Practice Address - Country:US
Practice Address - Phone:614-275-4861
Practice Address - Fax:614-275-4897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health