Provider Demographics
NPI:1386895878
Name:AGAPE FAMILY CAREGIVERS
Entity type:Organization
Organization Name:AGAPE FAMILY CAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-471-6801
Mailing Address - Street 1:633 BURLINGAME ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-1004
Mailing Address - Country:US
Mailing Address - Phone:517-579-0574
Mailing Address - Fax:313-826-7864
Practice Address - Street 1:633 BURLINGAME ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-1004
Practice Address - Country:US
Practice Address - Phone:517-579-0574
Practice Address - Fax:313-826-7864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care