Agape Harbor Speech Therapy and Rehabilitation, Pllc

NPI #1154672582 in Surprise, Arizona

Provider Information

NPI Number: 1154672582
Entity Type: Organization
Organization Name: Agape Harbor Speech Therapy and Rehabilitation, Pllc
Primary Specialty: Home Health
Enumeration Date: Sep 25, 2012
Last Updated: Sep 25, 2012

Practice Location

Address: 16195 W COTTONWOOD ST
City: Surprise
State: Arizona
ZIP Code: 85374-5740
Phone: (602) 999-6358

Authorized Official

Name: DR. MISTY ANN MASON
Title: SPEECH-LANGUAGE PATHOLOGIST
Phone: (602) 999-6358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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