Provider Demographics
NPI:1366700965
Name:AGAPE AMBULANCE SERVICES INC
Entity type:Organization
Organization Name:AGAPE AMBULANCE SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:H
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-305-9037
Mailing Address - Street 1:17515 SPRING CYPRESS RD
Mailing Address - Street 2:SUITE C264
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-2688
Mailing Address - Country:US
Mailing Address - Phone:281-305-9037
Mailing Address - Fax:888-355-4116
Practice Address - Street 1:16518 HOUSE HAHL RD
Practice Address - Street 2:SUITE B10
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1901
Practice Address - Country:US
Practice Address - Phone:281-305-9037
Practice Address - Fax:888-355-4116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-02
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10008163416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport