Agape Community Living Llc

NPI Provider: 1164787958
Contact Name: VIBBERT CAROL
Position: EXECUTIVE DIRECTOR
Phone: (502) 749-3257

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Agape Community Living Llc Information:

Agape Community Living Llc organization have npi 1164787958, taxonomy code is 320900000X with license number is 251S00000X in . This Business address located in 4200 WALLINGFORD LN, LOUISVILLE, KY 40218 Kentucky.

Practice Location
Address: 4200 WALLINGFORD LN, LOUISVILLE, KY 40218
Phone: (502) 749-3257

Business Location
Address: 4200 WALLINGFORD LN, LOUISVILLE, KY 40218
Phone: (502) 749-3257
Fax: (502) 742-3141

Taxonomy

Taxonomy Code: 320900000X

License Number: 251S00000X

License Number of State: KY

Primary Taxonomy Switch: Y

Enumeration Date: 07/09/2012

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