Agape Ii Ghsd Inc.

NPI 1013103951 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1013103951
Enumeration Date 09/24/2007
Last Updated 09/24/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name HYESON KIM HYESON
Position CEO
Phone (910) 567-2869
Fax (910) 980-1768
Practice Location
166 PHILLIPS RD
DUNN NC, 28334-1382, US
Phone (910) 567-2869
Fax (910) 980-1768
Business Location
7279 SMITHFIELD RD
GODWIN NC, 28344-8315, US
Phone (910) 980-1085
Fax (910) 980-1768
Toxanomy
Taxonomy Code 322D00000X
License State North Carolina
License Number MHL-082-070
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According to our database, Agape Ii Ghsd Inc. NPI is 1013103951, taxonomy code is 322D00000X and license number is MHL-082-070, license state is located at North Carolina. Agape Ii Ghsd Inc. physically located at 166 Phillips Rd, Dunn NC, 28334-1382. NPI Number 1033115704 has the healthcare provider type.

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1013103951 NPI number is provided on an as is basis without warranty of any kind. 1013103951 is maintained by the National Plan & Provider Enumeration System. The contents of Agape Ii Ghsd Inc. are for informational purposes only.