Organization · NPI-2

Agape Medical Supply & Durable Medical Equipment

Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies · Atlanta, GA

NPI number1104009802
StatusActive
Last updated in NPPESDec 17, 2007

Details

NPI
1104009802
Entity type
Organization (NPI-2)
Legal business name
Agape Medical Supply & Durable Medical Equipment
Organization subpart
No
Enumeration date
Dec 17, 2007
Last updated
Dec 17, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies–GAYes

Practice location

2564 Peyton Woods Trl Sw
Atlanta, GA 30311-2157

Phone 404-696-9826 · Fax 404-696-9826

Mailing address

8202 Lullwater Ct
Jonesboro, GA 30236-3963

Phone 404-435-5931 · Fax 404-696-9826

Authorized official

Ronald Wynn
Director Of Business Development
4043100803

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