Agape Assisted Living Of Conway, Inc,

LBN: Agape Assisted Living Of Conway, Inc,
Agape Assisted Living Of Conway, Inc, is an health care organization with primary practice located at 2320 Highway 378 , Conway SC 29527-4911. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Agape Assisted Living Of Conway, Inc, can be contacted via phone (843) 397-2273, or through Middleton, Gregory Scott via phone (803) 454-3505.

Contact Information

Primary practice address
2320 Highway 378 Conway SC 29527-4911
Phone: (843) 397-2273
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Middleton, Gregory Scott
Phone: (803) 454-3505

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X CRC-1453 South Carolina

Profile Details

NPI number 1922237684
LBN Legal business name Agape Assisted Living Of Conway, Inc,
DBA Doing business as
Authorized official Middleton, Gregory Scott
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2009
Last updated Jul 2nd, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922237684 NPPES
South Carolina MEDICAID CRC1453

Popular Providers