Organization
AGAPE OF LOVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY EVANS (ADMINISTRATOR)
(919) 457-3697
Entity
Organization
Contact information
Practice address
2104 WINNIE PL, RALEIGH, NC 27603-2775
(919) 457-3697
Mailing address
2104 WINNIE PL, RALEIGH, NC 27603-2775
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL092578
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7806682
—
NC
Enumeration date
09/06/2013
Last updated
09/06/2013
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