Provider Demographics
NPI:1710792189
Name:AGAPE FOR HEALING,LLC
Entity type:Organization
Organization Name:AGAPE FOR HEALING,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:NANNETTE
Authorized Official - Last Name:SEARCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-425-1913
Mailing Address - Street 1:1139 FRANK RD
Mailing Address - Street 2:
Mailing Address - City:OCILLA
Mailing Address - State:GA
Mailing Address - Zip Code:31774-3933
Mailing Address - Country:US
Mailing Address - Phone:229-425-1913
Mailing Address - Fax:
Practice Address - Street 1:1139 FRANK RD
Practice Address - Street 2:
Practice Address - City:OCILLA
Practice Address - State:GA
Practice Address - Zip Code:31774-3933
Practice Address - Country:US
Practice Address - Phone:229-425-1913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care