Whalio Doctors

NPI 1134960958

Agape Independent Living Group LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Columbia, SC

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
Residential Treatment Facilities Taxonomy 320900000X
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X

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.