Shooting Stars Early Intervention LLC
NPI #1003527409 in Lugoff, South Carolina
Provider Information
- NPI Number
- 1003527409
- Entity Type
- Organization
- Organization Name
- Shooting Stars Early Intervention LLC
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Dec 7, 2022
- Last Updated
- Dec 7, 2022
Practice Location
- Address
- 1860 SPRINGVALE RD
- City
- Lugoff
- State
- South Carolina
- ZIP Code
- 29078-9788
- Phone
- (803) 420-8492
Authorized Official
- Name
- MARIA NELSON
- Title
- OWNER
- Phone
- (803) 420-8492
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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