Provider Demographics
NPI:1710300140
Name:AGAPEZONE INC
Entity Type:Organization
Organization Name:AGAPEZONE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUWOLE
Authorized Official - Middle Name:TOYE
Authorized Official - Last Name:OLOWOLAYEMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-248-5766
Mailing Address - Street 1:14826 CHARLMONT DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5648
Mailing Address - Country:US
Mailing Address - Phone:713-248-5766
Mailing Address - Fax:281-530-1270
Practice Address - Street 1:14826 CHARLMONT DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5648
Practice Address - Country:US
Practice Address - Phone:713-248-5766
Practice Address - Fax:281-530-1270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX801911722253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care