NPI 1215211149
Agape's Grace, INC.
Practice location
- Address
- 2 S Mulberry St, Louisburg, KS 66053-6429
- Phone
- (913) 837-5885
- Mailing address
- 34736 Mission Belleview Rd, Louisburg, KS 66053-6904
Authorised official
- Name
- Susan Renae Juarez
- Title
- Executive Director
- Phone
- (913) 526-2817
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1215211149
- Entity type
- Organization
- NPI issued
- 11 Oct 2011
- Record last updated
- 11 Oct 2011
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.