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
Fax:
Website:
Authorized official contact:
Name: Bracey, Tiara

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780316489 NPPES
Georgia MEDICAID 000000

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