Eli Collins Foundation for Premature Babies
NPI #1447902564 in Kingstree, South Carolina
Provider Information
- NPI Number
- 1447902564
- Entity Type
- Organization
- Organization Name
- Eli Collins Foundation for Premature Babies
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jan 20, 2022
- Last Updated
- Jan 20, 2022
Practice Location
- Address
- 137 E MILL ST
- City
- Kingstree
- State
- South Carolina
- ZIP Code
- 29556-3427
- Phone
- (843) 355-5625
Authorized Official
- Name
- MRS. JULIA SELENE TISDALE-SHAW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (843) 355-5625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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