# ADVANTAGE EARLY INTERVENTION OF THE UPSTATE

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

## Provider details

- **NPI number:** 1457755381
- **Authorized official:** MRS. MANDY KEARSE MANN (OWNER)
- **Authorized official phone:** (864) 809-7794

## Contact information

- **Practice address:** 428 OLD METAL ROAD, GAFFNEY, SC 29341
- **Practice address phone:** (864) 809-7794
- **Mailing address:** 428 OLD METAL ROAD, GAFFNEY, SC 29341
- **Mailing address phone:** (864) 809-7794

## Taxonomy

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

## Other

- **Enumeration date:** 10/21/2014
- **Last updated:** 10/21/2014
