# SMART START EARLY INTERVENTION, LLC

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

## Provider details

- **NPI number:** 1235795675
- **Authorized official:** JAMIE LEIGH MUMFORD (OWNER)
- **Authorized official phone:** (843) 439-7305

## Contact information

- **Practice address:** 2275 SALEM RD, BENNETTSVILLE, SC 29512-8441
- **Practice address phone:** (843) 439-7305
- **Practice address fax:** (843) 528-1717
- **Mailing address:** 2275 SALEM RD, BENNETTSVILLE, SC 29512-8441
- **Mailing address phone:** (843) 439-7305
- **Mailing address fax:** (843) 528-1717

## Taxonomy

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

## Other

- **Enumeration date:** 05/10/2019
- **Last updated:** 05/10/2019