Organization
AGAPE RESIDENTIAL CARE LLC
Active
Other names
Agape Residential Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDISON NTIYOMBA SR. (CEO)
(207) 409-4723
Entity
Organization
Contact information
Practice address
124 WELLESLEY ESTS, PORTLAND, ME 04103-1185
(207) 409-4723
Mailing address
124 WELLESLEY ESTS, PORTLAND, ME 04103-1185
(207) 409-4723
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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