Organization
AGAPE HOME LIVING CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTAY D PARKER (OWNER)
(336) 324-8008
Entity
Organization
Contact information
Practice address
2708 16TH STREET, GREENSBORO, NC 24239-4371
(336) 324-8008
Mailing address
2708 16TH ST, GREENSBORO, NC 27405-4371
(336) 324-8008
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
041-1146
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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