# AGAPE ASSISTED LIVING OF CONWAY, INC,

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922237684
- **Authorized official:** MR. GREGORY SCOTT MIDDLETON (CEO)
- **Authorized official phone:** (803) 454-3505

## Contact information

- **Practice address:** 2320 HIGHWAY 378, CONWAY, SC 29527-4911
- **Practice address phone:** (843) 397-2273
- **Mailing address:** 2320 HIGHWAY 378, CONWAY, SC 29527-4911
- **Mailing address phone:** (843) 397-2273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | CRC-1453 | SC | Yes |

## Other

- **Enumeration date:** 07/02/2009
- **Last updated:** 07/02/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | CRC1453 | — | SC |