Provider Demographics
NPI:1013161686
Name:AGAPE MEDICAL SUPPLY & DURABLE MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:AGAPE MEDICAL SUPPLY & DURABLE MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:E
Authorized Official - Last Name:FRANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-210-9371
Mailing Address - Street 1:2950 STONE HOGAN RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-2837
Mailing Address - Country:US
Mailing Address - Phone:404-310-0809
Mailing Address - Fax:404-696-9826
Practice Address - Street 1:2950 STONE HOGAN RD
Practice Address - Street 2:SUITE 106
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-2837
Practice Address - Country:US
Practice Address - Phone:404-310-0803
Practice Address - Fax:404-696-9826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies