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Organization
AGAPE ASSISTED LIVING OF CONWAY, INC,
Active
Organization
AGAPE ASSISTED LIVING OF CONWAY, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY SCOTT MIDDLETON (CEO)
(803) 454-3505
Entity
Organization
Contact information
Practice address
2320 HIGHWAY 378, CONWAY, SC 29527-4911
(843) 397-2273
Mailing address
2320 HIGHWAY 378, CONWAY, SC 29527-4911
(843) 397-2273
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CRC-1453
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CRC1453
—
SC
Enumeration date
07/02/2009
Last updated
07/02/2009
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