Organization
AGAPE FAMILY CARE HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MALTESE FULLER (PRESIDENT)
(336) 932-1593
Entity
Organization
Contact information
Practice address
155 CARRIAGE LOOP, BURLINGTON, NC 27217-7549
(336) 222-0135
(336) 222-8607
Mailing address
PO BOX 5126, BURLINGTON, NC 27216-5126
(336) 932-1593
(336) 222-8607
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-001-158
NC
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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