Provider Demographics
NPI:1811788755
Name:AGAPE ACUPUNCTURE LLC
Entity type:Organization
Organization Name:AGAPE ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SE-MIN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:248-504-1558
Mailing Address - Street 1:44150 W TWELVE MILE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-2649
Mailing Address - Country:US
Mailing Address - Phone:248-238-8390
Mailing Address - Fax:248-419-1839
Practice Address - Street 1:44150 W TWELVE MILE RD STE 300
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-2649
Practice Address - Country:US
Practice Address - Phone:248-238-8390
Practice Address - Fax:248-419-1839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty