Agape Assisted Living of Conway, Inc,
Organization Active NPI Assisted Living Facility · Conway, SC
NPI 1922237684 · NPPES record last updated Jul 2, 2009
Key facts
- NPI
- 1922237684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- CRC-1453 (SC)
- Legal business name
- AGAPE ASSISTED LIVING OF CONWAY, INC,
- Practice address
- 2320 Highway 378
Conway, SC 29527-4911 - Phone
- (843) 397-2273
- NPI assigned
- Jul 2, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Gregory Scott Middleton
- Title
- Ceo
- Phone
- (803) 454-3505
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | CRC-1453 | SC | Yes |
Addresses
Primary practice location
2320 Highway 378
Conway, SC 29527-4911
Mailing address
2320 Highway 378
Conway, SC 29527-4911
Phone (843) 397-2273
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CRC1453 | Medicaid | SC |
Other providers in Conway, SC
- James W Adamson
- Alicia Adcock
- Advanced GYN and Wellness
- Advanced Surgical Associates
- Kimberley Ady
- Agape Community Hospice of the Grand Strand Inc.
- Agape Hospice House of Horry County, Inc.
- Agape Rehabilitation of Conway, Inc.
- Radhica Agarwal
- Desiree' Gallant Aklin
All providers in Conway, SC · Assisted Living Facility in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.