Provider Demographics
NPI:1588342349
Name:AGAPE MEDICAL SOLUTIONS LLC
Entity type:Organization
Organization Name:AGAPE MEDICAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DIESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DARCUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-856-3379
Mailing Address - Street 1:1611 CLYBURN ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:SC
Mailing Address - Zip Code:29020-4003
Mailing Address - Country:US
Mailing Address - Phone:803-856-3379
Mailing Address - Fax:
Practice Address - Street 1:1611 CLYBURN ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:SC
Practice Address - Zip Code:29020-4003
Practice Address - Country:US
Practice Address - Phone:803-856-3379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty