NPI 1114139870

Agape, LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Paola, KS

Practice location

Address: 16046 W 343rd St, Paola, KS 66071
Phone: (913) 526-2817
Mailing address: 34850 Mission Bellview, Louisburg, KS 66053

Authorised official

Name: Susan Renae Juarez
Title: Executive Director
Phone: (913) 526-2817

Registered specialties (3)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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Child Intellectual and/or Developmental Disabilities Respite Care

Respite Care Facility Taxonomy 385HR2060X

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Registry record

NPI: 1114139870
Entity type: Organization
NPI issued: 4 May 2007
Record last updated: 3 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.