Provider Demographics
NPI:1053711465
Name:AGAPE' ARMS OF MERCY MEDICAL & SOCIAL SERVICES
Entity type:Organization
Organization Name:AGAPE' ARMS OF MERCY MEDICAL & SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:R
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:407-298-8980
Mailing Address - Street 1:2425 N HIAWASSEE RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-3962
Mailing Address - Country:US
Mailing Address - Phone:407-295-7196
Mailing Address - Fax:407-203-2809
Practice Address - Street 1:2425 N HIAWASSEE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-3962
Practice Address - Country:US
Practice Address - Phone:407-295-7196
Practice Address - Fax:407-203-2809
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AGAPE' ASSEMBLY BAPTIST CHURCH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management