Organization
AGAPE LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN E OEI (EXECUTIVE DIRECTOR)
(720) 218-4905
Entity
Organization
Contact information
Practice address
20985 E BERRY AVE, CENTENNIAL, CO 80015-3615
(720) 218-4905
Mailing address
20985 E BERRY AVE, CENTENNIAL, CO 80015-3615
(720) 218-4905
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
347E00000X
Transportation Broker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/11/2022
Last updated
11/13/2022
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