NPI 1124893391

Agape Residential Care LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Portland, ME

Practice location

Address: 124 Wellesley Ests, Portland, ME 04103-1185
Phone: (207) 409-4723

Authorised official

Name: Edison Ntiyomba
Title: Ceo
Phone: (207) 409-4723

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1124893391
Entity type: Organization
NPI issued: 17 Nov 2023
Record last updated: 17 Nov 2023

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.