Organization
AWESOME KIDS EARLY INTERVENTION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA FIELDS (EI DIRECTOR)
(803) 645-3482
Entity
Organization
Contact information
Practice address
194 ARROWHEAD LAKE RD, NORTH AUGUSTA, SC 29860-8143
(803) 640-8493
Mailing address
194 ARROWHEAD LAKE RD, NORTH AUGUSTA, SC 29860-8143
(803) 645-3482
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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