Organization
EBENEZER SENIOR SERVICES, LLC
Active
Other names
Agape Rehabilitation of Rock Hill
Organization subpart
No
Provider details
NPI number
Authorized official
MR. G. SCOTT MIDDLETON (CEO, AGAPE SENIOR)
(803) 454-0365
Entity
Organization
Contact information
Practice address
159 SEDGEWOOD DR, ROCK HILL, SC 29732-2315
(803) 329-6565
(803) 329-6624
Mailing address
159 SEDGEWOOD DR, ROCK HILL, SC 29732-2315
(803) 329-6565
(803) 329-6624
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF814
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0464NF
—
SC
Enumeration date
06/10/2006
Last updated
01/13/2017
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