Organization
AGAPE I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF MASSEY (PRESIDENT)
(704) 283-4295
Entity
Organization
Contact information
Practice address
504 COLONY RD, MONROE, NC 28112-4511
(704) 225-0584
(704) 292-1915
Mailing address
410 ROBIN DR, MONROE, NC 28112-6478
(704) 225-0584
(704) 292-1915
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
MHL090049
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603913
—
NC
Enumeration date
01/30/2007
Last updated
08/22/2020
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