NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

AGAPE COMMUNITY LIVING LLC – #1164787958
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.


Contact Information

AGAPE COMMUNITY LIVING LLC
4200 WALLINGFORD LN
LOUISVILLE, KY40218-2720
 Phone: 502-749-3257
 Fax: 502-742-3141
 Website:
 

Specialty

Taxonomy

Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

320900000X
Indicates primary specialty
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NPI Information

NPI Number 1164787958
Entity Organization
Organization subpart N
Enumeration date 07/09/2012
Last updated 07/09/2012
Identifiers
KY License # 251S00000X
KY Medicaid 1154568467

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