Organization
EXCEPTIONAL KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA LATRECE WINGATE (OWNER)
(843) 992-6824
Entity
Organization
Contact information
Practice address
817 N SPRINGVILLE RD, DARLINGTON, SC 29540-7914
(843) 992-6824
(843) 306-8786
Mailing address
PO BOX 622, DARLINGTON, SC 29540-0622
(843) 992-6824
(843) 306-8786
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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