Organization · NPI-2

Agape Of Love

Custodial Care Facility, Adult Care Home · Raleigh, NC

NPI number1902231137
StatusActive
Last updated in NPPESSep 6, 2013

Details

NPI
1902231137
Entity type
Organization (NPI-2)
Legal business name
Agape Of Love
Organization subpart
No
Enumeration date
Sep 6, 2013
Last updated
Sep 6, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care HomeMHL092578NCYes

Practice location

2104 Winnie Pl
Raleigh, NC 27603-2775

Phone 919-457-3697

Mailing address

2104 Winnie Pl
Raleigh, NC 27603-2775

Authorized official

Shirley Evans
Administrator
9194573697

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