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Organization
L&H AGAPE FAMILY CARE HOMES
Active
Organization
L&H AGAPE FAMILY CARE HOMES
Active
Other names
L&H Agape Family Care Homes
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEL FORMAN (ADMINISTRATOR/OWNER)
(336) 860-4060
Entity
Organization
Contact information
Practice address
2014 WILLOW RD, GREENSBORO, NC 27406-3832
(336) 574-2734
(336) 937-9157
Mailing address
1200 MOODY ST, GREENSBORO, NC 27401-4217
(336) 860-4060
(336) 937-9157
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FCL041081
—
NC
Enumeration date
02/24/2021
Last updated
01/05/2022
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