Organization · NPI-2

Agape Love LLC

Community Based Residential Treatment Facility, Mental Illness · Gastonia, NC

NPI number1922676360
StatusActive
Last updated in NPPESJun 13, 2021

Details

NPI
1922676360
Entity type
Organization (NPI-2)
Legal business name
Agape Love LLC
Organization subpart
No
Enumeration date
Jun 13, 2021
Certification date
Jun 13, 2021
Last updated
Jun 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness––Yes

Practice location

1172 Huntsmoor Dr
Gastonia, NC 28054-7205

Phone 919-593-8748

Mailing address

1172 Huntsmoor Dr
Gastonia, NC 28054-7205

Authorized official

Jermisha Hargrove
Owner
9195938748

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