| Agape | |
|
902 Colonial Ave Greenville NC 27834-1825 | |
| (252) 916-3173 | |
| Not Available |
| Full Name | Agape |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 902 Colonial Ave, Greenville, North Carolina |
| Authorized Official Name and Position | James Harold Randolph (OWNER) |
| Authorized Official Contact | 2529163173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape 902 Colonial Ave Greenville NC 27834-1825 Ph: (252) 916-3173 | Agape 902 Colonial Ave Greenville NC 27834-1825 Ph: (252) 916-3173 |
| NPI Number | 1891186292 |
|---|---|
| Provider Enumeration Date | 02/07/2015 |
| Last Update Date | 02/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891186292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 21160 (North Carolina) | Primary |
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