Agape Family Healthcare Llc

NPI 1154654440 - Clinic/Center - 261QP2300X

NPI Details
NPI 1154654440
Enumeration Date 09/17/2009
Last Updated 09/21/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name BEVERLY L BEVERLY
Position FAMILY NURSE PRACTITIONER
Phone (615) 944-2474
Fax
Practice Location
607 W DUE WEST AVE
STE 105
MADISON TN, 37115-4431, US
Phone (615) 944-2474
Fax
Business Location
PO BOX 568
OLD HICKORY TN, 37138-0568, US
Phone (615) 944-2474
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State Tennessee
License Number 13671
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According to our database, Agape Family Healthcare Llc NPI is 1154654440, taxonomy code is 261QP2300X and license number is 13671, license state is located at Tennessee. Agape Family Healthcare Llc physically located at 607 W Due West Ave, Madison TN, 37115-4431. NPI Number 1033115704 has the healthcare provider type.

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1154654440 NPI number is provided on an as is basis without warranty of any kind. 1154654440 is maintained by the National Plan & Provider Enumeration System. The contents of Agape Family Healthcare Llc are for informational purposes only.