Agape'S Grace, Inc.
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Louisburg, KS
NPI 1215211149 · NPPES record last updated Oct 11, 2011
Key facts
- NPI
- 1215211149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- AGAPE'S GRACE, INC.
- Practice address
- 2 S Mulberry St
Louisburg, KS 66053-6429 - Phone
- (913) 837-5885
- NPI assigned
- Oct 11, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Susan Renae Juarez
- Title
- Executive Director
- Phone
- (913) 526-2817
National Provider Directory
Locations
2 S Mulberry St
Louisburg, KS 66053
Phone (913) 837-5885
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | KS | Yes |
Addresses
Primary practice location
2 S Mulberry St
Louisburg, KS 66053-6429
Mailing address
34736 Mission Belleview Rd
Louisburg, KS 66053-6904
Phone (913) 526-2817
Other providers in Louisburg, KS
All providers in Louisburg, KS · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.