Provider Demographics
NPI:1427286665
Name:AGAPE UNIT CARE SERVICES, INC
Entity type:Organization
Organization Name:AGAPE UNIT CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAYBOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-822-1700
Mailing Address - Street 1:105 RURITAN DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-1430
Mailing Address - Country:US
Mailing Address - Phone:910-527-9717
Mailing Address - Fax:
Practice Address - Street 1:2801 RAMSEY ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-3119
Practice Address - Country:US
Practice Address - Phone:910-822-1700
Practice Address - Fax:910-822-8089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health