institution
Agape Community Living Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Louisville, Kentucky
NPI 1164787958

Agape Community Living Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Louisville, KY. Agape Community Living Llc practices in Louisville, KY. The NPI Number for Agape Community Living Llc is 1164787958 and holds a License No. 251S00000X (Kentucky).

The current practice location address for Agape Community Living Llc is 4200 Wallingford Ln, Louisville, KY and can be reached out via phone at 502-749-3257 and via fax at 502-742-3141. You can also correspond with Agape Community Living Llc through the mailing address at 4200 WALLINGFORD LN, LOUISVILLE, KY - 40218-2720 (mailing address contact number: 502-749-3257).

Location: 4200 Wallingford Ln, Louisville, KY, 40218-2720
institution
Provider Profile Details
NPI Number
1164787958
Provider Name
Agape Community Living Llc
Credential
Provider Entity Type
Organization
Address
4200 Wallingford Ln, Louisville, KY, 40218-2720
Phone Number
502-749-3257
Fax Number
502-742-3141
Provider Enumeration Date
07/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1154568467 05 KY
institution
Provider Business Practice Location Address Details
Address
4200 Wallingford Ln
City
State
Zip
40218-2720
Phone Number
502-749-3257
Fax Number
502-742-3141
person
Provider Business Mailing Address Details
Address
4200 Wallingford Ln
City
State
Zip
40218-2720
Phone Number
502-749-3257
Fax Number
502-742-3141
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
251S00000X (Kentucky)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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