# AGAPE RESIDENTIAL CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528720539
- **Authorized official:** MARY ERINGO (RN)
- **Authorized official phone:** (253) 777-1953

## Contact information

- **Practice address:** 1202 129TH ST S, TACOMA, WA 98444-2219
- **Practice address phone:** (253) 777-1953
- **Mailing address:** 1202 129TH ST S, TACOMA, WA 98444-2219
- **Mailing address phone:** (253) 777-1953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2021
- **Last updated:** 10/06/2021