NPI: 1225279656
Provider Name: AGAPE COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY, INC.
Doing Business As: AGAPE REHABILITATION INSTITUTE
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Address:
2835 HOLLYWOOD AVE
SHREVEPORT, LA
ZIP 71108
Phone: (318) 631-4181
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AGAPE COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY, INC. is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Shreveport, LA. AGAPE COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY, INC. NPI is 1225279656. The provider is registered as an organization entity type.
The provider Is Doing Business As Agape Rehabilitation Institute.
The provider's business location address is:
2835 HOLLYWOOD AVE
SHREVEPORT, LA
ZIP 71108-848
Phone: (318) 631-4181
Fax: (318) 525-0422
The provider's authorized official is Keith Robinson .
The authorized official title is President and has the following contact phone number (318) 572-0795.
The enumeration date for this NPI number is 3/15/2009 and was last updated on 3/15/2009.