NPI | 1245695774 |
---|---|
Doing Business As | AGAPE COMMUNITY HEALTH CENTER, INC. - SOUTH JAX |
Entity Type | Organization |
Authorized Contact | MIA L JONES CEO 904-760-4904 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: FL N04000004094) |
Enumeration Date | 2015-12-29 |
Last Update Date | 2020-09-09 |