# KENNEDY'S ASSISTIVE LIVING AND EDUCATIONAL FACILTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KALEF
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275994022
- **Authorized official:** DR. CAROLYN A KENNEDY ED.D. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (803) 736-5872

## Contact information

- **Practice address:** 1941 DECKER BLVD, COLUMBIA, SC 29206-3470
- **Practice address phone:** (803) 787-0020
- **Mailing address:** 1941 DECKER BLVD, COLUMBIA, SC 29206-3470
- **Mailing address phone:** (803) 787-0020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | — | NULL | Yes |
| 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

- **Enumeration date:** 03/08/2016
- **Last updated:** 03/08/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | EX0993 | — | SC |