Provider Demographics
NPI:1437951803
Name:AGAPE LOVE HOME HEALTH CARE
Entity type:Organization
Organization Name:AGAPE LOVE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RUTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-477-9927
Mailing Address - Street 1:4460 W DEER RUN DR APT 104
Mailing Address - Street 2:
Mailing Address - City:BROWN DEER
Mailing Address - State:WI
Mailing Address - Zip Code:53223-6404
Mailing Address - Country:US
Mailing Address - Phone:414-477-9927
Mailing Address - Fax:
Practice Address - Street 1:4460 W DEER RUN DR APT 104
Practice Address - Street 2:
Practice Address - City:BROWN DEER
Practice Address - State:WI
Practice Address - Zip Code:53223-6404
Practice Address - Country:US
Practice Address - Phone:414-477-9927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health