Organization
AGAPE LIFE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUANITA HENDERSON (OWNER)
(704) 548-0567
Entity
Organization
Contact information
Practice address
1633 NORTHBROOK DR, CHARLOTTE, NC 28216-3777
(704) 548-0567
Mailing address
1633 NORTHBROOK DR, CHARLOTTE, NC 28216-3777
(704) 548-0567
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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