Organization
AGAPE'S GRACE, INC.
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
2 S MULBERRY ST, LOUISBURG, KS 66053-6429
(913) 837-5885
Mailing address
34736 MISSION BELLEVIEW RD, LOUISBURG, KS 66053-6904
(913) 526-2817
(913) 377-3316
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
KS
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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