Provider Demographics
NPI:1750555074
Name:AGAPE COMMUNITY HOSPICE OF THE PIEDMONT, INC.
Entity type:Organization
Organization Name:AGAPE COMMUNITY HOSPICE OF THE PIEDMONT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-329-4544
Mailing Address - Street 1:2115 EBENEZER RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1017
Mailing Address - Country:US
Mailing Address - Phone:803-329-4544
Mailing Address - Fax:803-985-5048
Practice Address - Street 1:2115 EBENEZER RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1017
Practice Address - Country:US
Practice Address - Phone:803-329-4544
Practice Address - Fax:803-985-5048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHPC 132251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based