National Provider Identifier Database

AGAPE LIVING LLC
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.


Contact Information

AGAPE LIVING LLC
1840 PHINIZY RD
AUGUSTA, GA30906-5144
Phone: 706-993-2188
Fax: 706-993-2188
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for AGAPE LIVING LLC

NPI Number 1427486182
Legal business name
LBN
AGAPE LIVING LLC
Authorized official ELMIRA ROUHAC - (RN)
Entity Organization
Organization subpart No
Enumeration date 10/16/2013
Last updated 10/16/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 121-03-020-1
  • GA Medicaid: 359961093B

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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