Organization · NPI-2
Agape Care Family Home #2
Custodial Care Facility, Adult Care Home · Greensboro, NC
NPI number1942833967
StatusActive
Last updated in NPPESFeb 18, 2020
Details
- NPI
- 1942833967
- Entity type
- Organization (NPI-2)
- Legal business name
- Agape Care Family Home #2
- Organization subpart
- Yes
- Enumeration date
- Feb 18, 2020
- Certification date
- Feb 18, 2020
- Last updated
- Feb 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
Other names
- Agape Care Family Home #2 (Doing Business As)
Practice location
2014 Willow RdGreensboro, NC 27406-3832
Phone 336-686-5841
Mailing address
2014 Willow RdGreensboro, NC 27406-3832
Phone 336-686-5841
Authorized official
Anitha Kurian
Administrator
3366865841
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