Organization
AGAPE FAMILY CARE HOMES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZUMA ASI (MANAGER)
(919) 605-6177
Entity
Organization
Contact information
Practice address
604 SE MAYNARD RD, CARY, NC 27511-5718
(919) 467-2416
(919) 876-9252
Mailing address
PO BOX 14963, RALEIGH, NC 27620-4963
(919) 467-2416
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NC
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NC
Other
Enumeration date
12/01/2007
Last updated
12/01/2007
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