Organization
AGAPE WINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMIAN AKINS (OWNER)
(352) 363-4592
Entity
Organization
Contact information
Practice address
1715 NE 8TH AVE APT I4, GAINESVILLE, FL 32641-4765
(352) 363-4592
Mailing address
1715 NE 8TH AVE APT I4, GAINESVILLE, FL 32641-4765
(352) 363-4592
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
740539
—
FL
Enumeration date
04/23/2019
Last updated
04/23/2019
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