NPI:
1245695774
Provider Name:
AGAPE COMMUNITY HEALTH CENTER, INC
Doing Business As: AGAPE COMMUNITY HEALTH CENTER, INC. - SOUTH JAX
Classification:
Clinic/Center - 261QF0400X
Entity Type:
Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
3900 UNIVERSITY BLVD S STE 2
JACKSONVILLE, FL
ZIP 32216
Phone:
(904) 760-4940
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AGAPE COMMUNITY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Jacksonville, FL. AGAPE COMMUNITY HEALTH CENTER, INC NPI is 1245695774. The provider is registered as an organization entity type.
The provider Is Doing Business As Agape Community Health Center, Inc. - South Jax.
The provider's business location address is:
3900 UNIVERSITY BLVD S STE 2
JACKSONVILLE, FL
ZIP 32216-331
Phone: (904) 760-4940
Fax: (904) 647-2481
The provider's authorized official is Mia L Jones .
The authorized official title is Ceo and has the following contact phone number (904) 760-4904.
The enumeration date for this NPI number is 12/29/2015 and was last updated on 9/9/2020.