Provider Demographics
NPI:1275977480
Name:AGAPE FAITH ASSISTED LIVING FACILITY
Entity Type:Organization
Organization Name:AGAPE FAITH ASSISTED LIVING FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-876-1896
Mailing Address - Street 1:7719 GARSEE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-4564
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8000 W TIDWELL RD
Practice Address - Street 2:1408
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-5552
Practice Address - Country:US
Practice Address - Phone:713-876-1896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WILLING WALK MINSTERIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility