Provider Demographics
NPI:1902612716
Name:AGAPE LOVE LLC
Entity type:Organization
Organization Name:AGAPE LOVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:BENSOON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:864-747-2931
Mailing Address - Street 1:135 W PYRENEES DR
Mailing Address - Street 2:
Mailing Address - City:LYMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29365-9277
Mailing Address - Country:US
Mailing Address - Phone:864-747-2931
Mailing Address - Fax:
Practice Address - Street 1:135 W PYRENEES DR
Practice Address - Street 2:
Practice Address - City:LYMAN
Practice Address - State:SC
Practice Address - Zip Code:29365-9277
Practice Address - Country:US
Practice Address - Phone:864-747-2931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-06
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome HealthGroup - Single Specialty