Agape Ii Ghsd Inc. in Godwin - Residential Treatment Facility, Emotionally Disturbed Children
Agape Ii Ghsd Inc. - NPI 1013103951
Agape Ii Ghsd Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Godwin, North Carolina. Agape Ii Ghsd Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Agape Ii Ghsd Inc. is 1013103951. The last update date is 2007-09-24.
Agape Ii Ghsd Inc.'s current location address is 7279 Smithfield Rd, Godwin, North Carolina. You can contact this provider via phone number 9109801085 and fax number 9109801768. The mailing address for Agape Ii Ghsd Inc. is 7279 Smithfield Rd, Godwin, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Agape Ii Ghsd Inc. |
|---|---|
| Address | 7279 Smithfield Rd, Godwin, North Carolina |
| Phone Number | 9109801085 |
| Fax Number | 9109801768 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Reed Kim Hyeson |
| Credentials | PROGRAM MA |
| Telephone Number | 9109801085 |
NPI Number Detail
| NPI Number | 1013103951 |
|---|---|
| Provider Enumeration Date | 2007-09-24 |
| Last Updated Date | 2007-09-24 |
Provider Mailing Address Detail
| Address | 7279 Smithfield Rd |
|---|---|
| City | Godwin |
| State | North Carolina (NC) |
| Post Code | 283448315 |
| Phone Number | 9109801085 |
| Fax Number | 9109801768 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | MHL-082-070 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the Agape Ii Ghsd Inc.'s 1013103951?
The Agape Ii Ghsd Inc.'s NPI (National Provider Identifier) Number is 1013103951. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Agape Ii Ghsd Inc.?
The Agape Ii Ghsd Inc. is situated at 7279 Smithfield Rd, in the city of Godwin, state of NC, with the zip code 283448315.
What is Agape Ii Ghsd Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Agape Ii Ghsd Inc.'s area of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this field of practice is 322D00000X.
When did the Agape Ii Ghsd Inc. receive its 1013103951?
The Agape Ii Ghsd Inc. was issued its 1013103951 on 2007-09-24, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Agape Ii Ghsd Inc. last refreshed?
The information related to the Agape Ii Ghsd Inc., including its address, specialty, and other relevant details, was last updated on 2007-09-24.