# AGAPE FAMILY CARE HOME INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1750772919
- **Authorized official:** MR. MALTESE FULLER (PRESIDENT)
- **Authorized official phone:** (336) 932-1593

## Contact information

- **Practice address:** 155 CARRIAGE LOOP, BURLINGTON, NC 27217-7549
- **Practice address phone:** (336) 222-0135
- **Practice address fax:** (336) 222-8607
- **Mailing address:** PO BOX 5126, BURLINGTON, NC 27216-5126
- **Mailing address phone:** (336) 932-1593
- **Mailing address fax:** (336) 222-8607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-001-158 | NC | Yes |

## Other

- **Enumeration date:** 02/10/2015
- **Last updated:** 02/10/2015