AGAPE COMMUNITY HEALTH CENTER, INC.
Ambulatory Health at Pearl St, Jacksonville, FL

License number
Florida N0000004094
Category
Ambulatory Health
Type
Federally Qualified Health Center (FQHC)
Owner
Name: MS. MIA L JONES
Title: CEO
Phone: (904) 253-1069
Address
Address
5300 N Pearl St, Jacksonville, FL 32208
National Provider ID: 1982069795
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AGAPE COMMUNITY HEALTH CENTER, INC. at bizstanding.com

AGAPE COMMUNITY HEALTH CENTER, INC

Jacksonville, FL

Status:
Inactive
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Apr 23, 2004
Inactive since:
Feb 24, 2009
Addresses:
120 King St, Jacksonville, FL 32204 (Physical)
1880 Edgewood Ave W, Jacksonville, FL 32208
1760 Edgewood Ave W, Jacksonville, FL 32208
State ID:
N04000004094
Business type:
Florida Not For Profit Corporation
Directors:
Deborah Thompson (Director, Vice President), 1880 W Edgewood Ave, Jacksonville, FL 32208 (Physical),Sr Williams, 1880 W Edgewood Ave, Jacksonville, FL 32208 (Physical),Iii Badger, 1880 W Edgewood Ave, Jacksonville, FL 32208 (Physical),...
Agent:
Williams, Dr Landon L, Sr
EIN:
161660966

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