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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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