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Organization
AGAPE RESIDENTIAL CARE LLC
Active
Organization
AGAPE RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ERINGO (RN)
(253) 777-1953
Entity
Organization
Contact information
Practice address
1202 129TH ST S, TACOMA, WA 98444-2219
(253) 777-1953
Mailing address
1202 129TH ST S, TACOMA, WA 98444-2219
(253) 777-1953
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
NULL
164W00000X
Licensed Practical Nurse
—
—
311ZA0620X
Adult Care Home Facility
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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