NPI 1134960958
Agape Independent Living Group LLC
Practice location
- Address
- 830 Gracern Rd, Columbia, SC 29210-7629
- Phone
- (706) 842-5330
- Mailing address
- 209 7th St Fl 5, Augusta, GA 30901-1484
Authorised official
- Name
- Allan J Soto
- Title
- Ceo
- Phone
- (706) 399-3007
Registered specialties (2)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Developmentally Disabled Services Day Training Agency
Registry record
- NPI
- 1134960958
- Entity type
- Organization
- NPI issued
- 5 Jun 2024
- Record last updated
- 5 Jun 2024
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.