Organization
AGAPE HOUSE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROEL O AMBRAY (TREASURER)
(352) 455-5957
Entity
Organization
Contact information
Practice address
2009 TOURNAMENT DR, APOPKA, FL 32712-2022
(407) 814-4572
Mailing address
1054 MAYFAIR ST, EUSTIS, FL 32726-5263
(352) 455-5957
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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