Whalio Doctors

NPI 1164787958

Agape Community Living LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Louisville, KY

Practice location

Address
4200 Wallingford Ln, Louisville, KY 40218-2720
Phone
(502) 749-3257
Fax
(502) 742-3141

Authorised official

Name
Carol Vibbert
Title
Executive Director
Phone
(502) 749-3257

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence 251S00000X (KY)

Registry record

NPI
1164787958
Entity type
Organization
NPI issued
9 Jul 2012
Record last updated
9 Jul 2012

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.