Agape Life Prevention Center
LBN: Agape Life Prevention Center
Agape Life Prevention Center is an health care organization with primary practice located at 6071 Highway 85 Apt 31A , Riverdale GA 30274-1531. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Meals, Agencies / Case Management, Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Agape Life Prevention Center can be contacted via phone (678) 437-7350, or through Bracey, Tiara via phone (678) 437-7350.
Contact Information
Primary practice address
6071 Highway 85 Apt 31A
Riverdale GA 30274-1531
Phone: (678) 437-7350
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Meals | 174200000X | ||
Agencies / Case Management | 251B00000X | ||
Agencies / Public Health or Welfare | 251K00000X | ||
Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
NPI number | 1780316489 |
---|---|
LBN Legal business name | Agape Life Prevention Center |
DBA Doing business as | |
Authorized official | Bracey, Tiara |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 30th, 2022 |
Last updated | Jun 30th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780316489 | NPPES |
Georgia | MEDICAID | 000000 |
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