AGAPE LIVING LLC; NPI #1427486182

Contact Information

AGAPE LIVING LLC

1840 PHINIZY RD
AUGUSTA, GA 30906-5144

Phone: 706-993-2188
Fax: 706-993-2188
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Residential Treatment Facility, Physical Disabilities	320700000X

Indicates primary specialty

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NPI Profile & details for AGAPE LIVING LLC

NPI Number 1427486182

LBN Legal business name AGAPE LIVING LLC

Authorized official ELMIRA ROUHAC - (RN)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/16/2013

Last updated 10/16/2013 - About 13 years ago

Identifiers

GA	License #	121-03-020-1
GA	Medicaid	359961093B

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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AGAPE LIVING LLC

Contact Information

Specialty

Residential Treatment Facility, Physical Disabilities

NPI Profile & details for AGAPE LIVING LLC

Reviews for AGAPE LIVING LLC