Agape Chronic Care, LLC
Clinical Nurse Specialist, Chronic Care in Woodstock, GA. Organization (NPI-2).
NPI number1982153359
StatusActive
Last updated in NPPESMar 23, 2021
Details
- NPI
- 1982153359
- Entity type
- Organization (NPI-2)
- Legal business name
- Agape Chronic Care, LLC
- Organization subpart
- No
- Enumeration date
- Sep 27, 2016
- Certification date
- Mar 1, 2021
- Last updated
- Mar 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SC2300X | Clinical Nurse Specialist, Chronic Care | 176831 | GA | Yes |
Other names
- Agape Palcare, LLC (Former Legal Business Name)
Practice location
105 Weatherstone Dr Ste 620Woodstock, GA 30188-7002
Phone 770-688-1090 · Fax 770-225-2452
Mailing address
105 Weatherstone Dr Ste 620Woodstock, GA 30188-7002
Phone 770-688-1090 · Fax 770-225-2452
Authorized official
Edwin J Cox
President/Owner
7703552066
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