# CAROLINA KIDS EARLY INTERVENTION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104671924
- **Authorized official:** CHRISTINE SPEEGLE EI (OWNER)
- **Authorized official phone:** (803) 479-1463

## Contact information

- **Practice address:** 58 DRAYTON CT, PROSPERITY, SC 29127-9375
- **Practice address phone:** (803) 479-1463
- **Mailing address:** 58 DRAYTON CT, PROSPERITY, SC 29127-9375
- **Mailing address phone:** (803) 479-1463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/23/2024
- **Last updated:** 04/23/2024