Agape Residential Care
Community/Behavioral Health in Portsmouth, VA. Organization (NPI-2).
NPI number1487367223
StatusActive
Last updated in NPPESAug 2, 2023
Details
- NPI
- 1487367223
- Entity type
- Organization (NPI-2)
- Legal business name
- Agape Residential Care
- Organization subpart
- No
- Enumeration date
- Dec 26, 2022
- Certification date
- Aug 2, 2023
- Last updated
- Aug 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – |
Practice location
934 Jefferson StPortsmouth, VA 23704-5628
Phone 757-372-1149
Mailing address
5141 Lake Shore DrChesapeake, VA 23321-1220
Phone 757-372-1149
Authorized official
Ronald Eugene Garrett
Ceo
7573721149
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All 88 Community/Behavioral Health Agency providers in Portsmouth · All 3,843 providers in Portsmouth
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