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 |