Organization
L&H AGAPE FAMILY CARE HOMES
Active
Other names
L&H Agape Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEL FORMAN (ADMINISTRATOR/OWNER)
(336) 860-4060
Entity
Organization
Contact information
Practice address
1801 BRITTON ST, GREENSBORO, NC 27406-3132
(336) 275-4927
(336) 937-9157
Mailing address
1200 MOODY ST, GREENSBORO, NC 27401-4217
(336) 860-4060
(336) 937-9157
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FCL041082
—
NC
Enumeration date
02/04/2021
Last updated
07/06/2021
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