| NPI | 1053985028 |
|---|---|
| Doing Business As | AGAPE @ FOREST DRIVE |
| Entity Type | Organization |
| Authorized Contact | JANE ASI Administrator 919-605-6177 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-05-14 |