Organization
AGAPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HORNBUCKLE II (DIRECTOR)
(270) 227-9924
Entity
Organization
Contact information
Practice address
96 JOBE LN, HAZEL, KY 42049-8568
(270) 227-9924
Mailing address
96 JOBE LN, HAZEL, KY 42049-8568
(270) 227-9924
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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