Organization
AGAPE RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD EUGENE GARRETT JR. (CEO)
(757) 372-1149
Entity
Organization
Contact information
Practice address
934 JEFFERSON ST, PORTSMOUTH, VA 23704-5628
(757) 372-1149
Mailing address
5141 LAKE SHORE DR, CHESAPEAKE, VA 23321-1220
(757) 372-1149
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/26/2022
Last updated
08/02/2023
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