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Organization
KENNEDY'S ASSISTIVE LIVING AND EDUCATIONAL FACILTY
Active
Organization
KENNEDY'S ASSISTIVE LIVING AND EDUCATIONAL FACILTY
Active
Other names
KALEF
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN A KENNEDY ED.D. (CHIEF EXECUTIVE OFFICER)
(803) 736-5872
Entity
Organization
Contact information
Practice address
1941 DECKER BLVD, COLUMBIA, SC 29206-3470
(803) 787-0020
Mailing address
1941 DECKER BLVD, COLUMBIA, SC 29206-3470
(803) 787-0020
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
2016-38336-37480
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0993
—
SC
Enumeration date
03/08/2016
Last updated
03/08/2016
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