Agape House Corp.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Apopka, FL. Organization (NPI-2).
NPI number1730719527
StatusActive
Last updated in NPPESJan 21, 2020
Details
- NPI
- 1730719527
- Entity type
- Organization (NPI-2)
- Legal business name
- Agape House Corp.
- Organization subpart
- No
- Enumeration date
- Jan 21, 2020
- Certification date
- Jan 21, 2020
- Last updated
- Jan 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
2009 Tournament DrApopka, FL 32712-2022
Phone 407-814-4572
Mailing address
1054 Mayfair StEustis, FL 32726-5263
Phone 352-455-5957
Authorized official
Roel O Ambray
Treasurer
3524555957
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