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Organization
THE AGAPE ALLEN'S FOUNDATION II
Active
Organization
THE AGAPE ALLEN'S FOUNDATION II
Active
Parent organization
THE AGAPE ALLEN'S FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE AGAPE ALLEN'S FOUNDATION
Authorized official
MR. ZACHARIAS ESAIAS ALLEN SR. TEACHER (PASTOR/TEACHER)
(704) 224-0895
Entity
Organization
Contact information
Practice address
11530 BEATTIES FORD RD, HUNTERSVILLE, NC 28078-8460
(980) 343-5988
(980) 343-5990
Mailing address
4427 GREENRIDGE LN APT 22F, KANNAPOLIS, NC 28081-9132
(704) 224-0895
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
09/24/2024
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