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Organization

AGAPE COMMUNITY LIVING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROL VIBBERT RN, BSN (EXECUTIVE DIRECTOR)
(502) 498-9713
Entity
Organization

Contact information

Practice address
8832 MOODY RD, #204, LOUISVILLE, KY 40219-5856
(502) 608-6980
(502) 742-3595
Mailing address
8832 MOODY RD, #204, LOUISVILLE, KY 40219-5856
(502) 608-6980
(502) 742-3595

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/09/2009
Last updated
01/12/2009
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