Organization
AGAPE HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY HANCHETT WALLACE (PRESIDENT/PROGRAM DIRECTOR)
(832) 453-6385
Entity
Organization
Contact information
Practice address
29618 LEGENDS PINE LANE, SPRING, TX 77386
(832) 453-6385
(281) 350-5980
Mailing address
29618 LEGENDS PINE LN, SPRING, TX 77386-2025
(832) 453-6385
(281) 350-5980
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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