Provider Demographics
NPI:1386951242
Name:AGAPE HOMES INC
Entity type:Organization
Organization Name:AGAPE HOMES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:UGO
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHUKWUMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-884-1475
Mailing Address - Street 1:211 W LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-2578
Mailing Address - Country:US
Mailing Address - Phone:336-884-1475
Mailing Address - Fax:336-884-1472
Practice Address - Street 1:211 W LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-2578
Practice Address - Country:US
Practice Address - Phone:336-884-1475
Practice Address - Fax:336-884-1472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-041-960251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health