Organization
AGAPE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELMIRA ELAINE ROUHAC ADMINISTRATOR (RN)
(706) 306-1157
Entity
Organization
Contact information
Practice address
1840 PHINIZY RD, AUGUSTA, GA 30906-5144
(706) 993-2188
(706) 993-2188
Mailing address
1840 PHINIZY RD, AUGUSTA, GA 30906-5144
(706) 993-2188
(706) 993-2188
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
121-03-020-1
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359961093B
—
GA
Enumeration date
10/16/2013
Last updated
10/16/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us