OrganizationActive
Agape Independent Living Group LLC
NPI 1134960958 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Columbia, SC
Provider details
- NPI number
- 1134960958
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Allan Soto, Ceo(706) 399-3007
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Agencies
Practice location
830 Gracern Rd
Columbia, SC 29210-7629
Phone: (706) 842-5330
Approximate (ZIP-level) locationGet directions
Mailing address
209 7th St Fl 5
Augusta, GA 30901-1484
Registry dates
- Enumerated
- 2024-06-05
- Last updated
- 2024-06-05
- Certified
- 2024-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.