NPI | 1235721937 |
---|---|
Doing Business As | L&H AGAPE FAMILY CARE |
Entity Type | Organization |
Authorized Contact | HAZEL FORMAN Administrator/Owner 336-860-4060 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2021-02-04 |
Last Update Date | 2021-07-06 |