Agape Sports Performance Wellness And Rehab

LBN: Agape Sports Performance Wellness And Rehab
Agape Sports Performance Wellness And Rehab is an health care organization with primary practice located at 402 Beckett Lane , Fayetteville GA 30214. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Agape Sports Performance Wellness And Rehab can be contacted via phone (404) 839-0841, or through Akomolafe, Tola O C via phone (770) 839-0841.

Contact Information

Primary practice address
402 Beckett Lane Fayetteville GA 30214
Phone: (404) 839-0841
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Akomolafe, Tola O C DPT MS CCI CEAS
Phone: (770) 839-0841

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT 04336 Georgia

Profile Details

NPI number 1427218106
LBN Legal business name Agape Sports Performance Wellness And Rehab
DBA Doing business as
Authorized official Akomolafe, Tola O C DPT MS CCI CEAS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2008
Last updated Jun 16th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427218106 NPPES
Georgia Other 166964592 NPPES/NPI

Popular Providers