Agape Living LLC
Organization Active NPI Case Manager/Care Coordinator · Augusta, GA
NPI 1942588587 · NPPES record last updated Aug 1, 2011
Key facts
- NPI
- 1942588587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 359961093A (GA)
- Legal business name
- AGAPE LIVING LLC
- Practice address
- 1840 Phinizy Rd
Augusta, GA 30906-5144 - Phone
- (706) 993-2188
- NPI assigned
- Aug 1, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Elmira Elaine Roulhac, RN
- Title
- Administrator
- Phone
- (706) 306-1157
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Agape Living LLC
Locations
1840 Phinizy Rd
Augusta, GA 30906
Phone (706) 993-2188
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator |
171M00000X | 359961093A | GA | Yes |
Addresses
Primary practice location
1840 Phinizy Rd
Augusta, GA 30906-5144
Mailing address
1840 Phinizy Rd
Augusta, GA 30906-5144
Phone (706) 993-2188
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 359961093A | Other | GA | DEPARTMENT OF COMMUNITY HEALTH |
Other providers in Augusta, GA
- Nadeem Afzal
- Edward Villadelgado Agabin
- Zachary Scott Agan
- Agape Day Living LLC
- Agape Living LLC
- Gautam Agarwal
- Ilako Chrystelle Agbatchi-Houedan
- Obiora Agbimson
- Ishan Aggarwal
- Soheila Aghdasi
All providers in Augusta, GA · Case Manager/Care Coordinator in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 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.