Organization
AGAPE II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MASSEY (PRSIDENT)
(704) 225-0584
Entity
Organization
Contact information
Practice address
1008 GRIFFITH RD, MONROE, NC 28112-6241
(704) 225-0584
(704) 292-1915
Mailing address
1505 SKYWAY DR, MONROE, NC 28110-3007
(704) 225-0584
(704) 225-1479
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
MHL090073
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604025
—
NC
Enumeration date
02/08/2007
Last updated
08/04/2010
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