| NPI | 1073201711 |
|---|---|
| Former Legal Business Name | AGAPE SENIOR PRIMARY CARE INC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW MILLER STAUB CEO 803-730-8910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |