Organization · NPI-2

Agape Family Care Homes, LLC.

Custodial Care Facility, Adult Care Home · Raleigh, NC

NPI number1922440189
StatusActive
Last updated in NPPESMay 14, 2021

Details

NPI
1922440189
Entity type
Organization (NPI-2)
Legal business name
Agape Family Care Homes, LLC.
Organization subpart
Yes
Enumeration date
Jul 29, 2013
Certification date
May 14, 2021
Last updated
May 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care Home––Yes

Other names

  • Agape Family Care Home #1 (Doing Business As)

Practice location

5024 Dantree Pl
Raleigh, NC 27609-5351

Phone 919-605-6177 · Fax 919-876-9252

Mailing address

Po Box 14963
Raleigh, NC 27620-4963

Phone 919-605-6177 · Fax 919-876-9252

Authorized official

Ezuma Asi
Administrator
9196056177

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