Organization
AGAPE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN RENAE JUAREZ (EXECUTIVE DIRECTOR)
(913) 526-2817
Entity
Organization
Contact information
Practice address
16046 W 343RD ST, PAOLA, KS 66071
(913) 526-2817
Mailing address
34850 MISSION BELLVIEW, LOUISBURG, KS 66053
(913) 526-2817
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
KS
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
KS
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
KS
Other
Enumeration date
05/04/2007
Last updated
01/03/2008
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