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Organization
AGAPE CONGREGATE LIVING, LLC
Active
Organization
AGAPE CONGREGATE LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH ALVAREZ (PARTNER/ADMINISTRATOR)
(949) 394-8707
Entity
Organization
Contact information
Practice address
302 FAIRWAY LN, PLACENTIA, CA 92870-4442
(657) 275-9127
(714) 982-3360
Mailing address
302 FAIRWAY LN, PLACENTIA, CA 92870-4442
(657) 275-9127
(714) 982-3433
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05D2117482
—
CA
Enumeration date
02/21/2015
Last updated
09/25/2016
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