# CAROLINA BLOOMS EARLY INTERVENTION

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

## Provider details

- **NPI number:** 1366370264
- **Authorized official:** MR. DARRELL TENNIE (ADMINISTRATOR)
- **Authorized official phone:** (919) 217-0933

## Contact information

- **Practice address:** 1245 CELEBRATION BLVD, FLORENCE, SC 29501-5499
- **Practice address phone:** (864) 584-8315
- **Practice address fax:** (864) 551-2758
- **Mailing address:** 1245 CELEBRATION BLVD, FLORENCE, SC 29501-5499
- **Mailing address phone:** (864) 584-8315
- **Mailing address fax:** (864) 551-2758

## Taxonomy

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

## Other

- **Enumeration date:** 05/11/2026
- **Last updated:** 05/11/2026