Provider Demographics
NPI:1538971635
Name:AGAPE RUNNING LLC
Entity type:Organization
Organization Name:AGAPE RUNNING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEONG TAEK
Authorized Official - Middle Name:
Authorized Official - Last Name:HAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-208-2202
Mailing Address - Street 1:381 BROADWAY STE 206
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-2239
Mailing Address - Country:US
Mailing Address - Phone:201-208-2202
Mailing Address - Fax:
Practice Address - Street 1:381 BROADWAY STE 206
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-2239
Practice Address - Country:US
Practice Address - Phone:201-208-2202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care