Organization
LTC THERAPY SOLUTIONS LLC
Active
Other names
Agape Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY ALLEN MIDDLETON (PRESIDENT)
(803) 454-0365
Entity
Organization
Contact information
Practice address
1624 MAIN ST, COLUMBIA, SC 29201-2818
(803) 454-0365
Mailing address
1624 MAIN ST, COLUMBIA, SC 29201-2818
(803) 454-0365
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/07/2016
Last updated
07/06/2016
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