- Enrollment id
- O20081006000714
- Enrollment state
- SC
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1033309877
- Multiple npi flag
- N
- Ccn
- 421592
- Associate id
- 8921176868
- Organization name
- AGAPE HOSPICE OF THE LOWCOUNTRY LLC
- Doing business as name
- AGAPE CARE SOUTH CAROLINA
- Incorporation date
- 2007-06-28
- Incorporation state
- SC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 3955 FABER PLACE DR
- Address line 2
- STE 202
- City
- NORTH CHARLESTON
- State
- SC
- Zip code
- 294058579