Agape Residential Care LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Portland, ME. Organization (NPI-2).
NPI number1124893391
StatusActive
Last updated in NPPESNov 17, 2023
Details
- NPI
- 1124893391
- Entity type
- Organization (NPI-2)
- Legal business name
- Agape Residential Care LLC
- Organization subpart
- No
- Enumeration date
- Nov 17, 2023
- Certification date
- Nov 17, 2023
- Last updated
- Nov 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Other names
- Agape Residential Care LLC (Doing Business As)
Practice location
124 Wellesley EstsPortland, ME 04103-1185
Phone 207-409-4723
Mailing address
124 Wellesley EstsPortland, ME 04103-1185
Phone 207-409-4723
Authorized official
Edison Ntiyomba
Ceo
2074094723
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