- Enrollment id
- O20070123000223
- Enrollment state
- SC
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1558457804
- Multiple npi flag
- N
- Ccn
- 421536
- Associate id
- 7113928961
- Organization name
- HOSPICE CARE OF SOUTH CAROLINA LLC
- Doing business as name
- AGAPE CARE SOUTH CAROLINA II
- Incorporation date
- 1997-05-07
- Incorporation state
- SC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 706 E MAIN ST
- City
- SPARTANBURG
- State
- SC
- Zip code
- 293021290