Provider Demographics
NPI:1487203055
Name:AGAPAO HOME CARE AGENCY LLC
Entity Type:Organization
Organization Name:AGAPAO HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAURENCEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-335-7000
Mailing Address - Street 1:6910 TORRESDALE AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19135-1906
Mailing Address - Country:US
Mailing Address - Phone:215-335-7000
Mailing Address - Fax:
Practice Address - Street 1:6910 TORRESDALE AVE FL 1
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19135-1906
Practice Address - Country:US
Practice Address - Phone:215-335-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health