Organization
UPSTATE SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANESSA BOYD (EXECUTIVE DIRECTOR)
(864) 583-5831
Entity
Organization
Contact information
Practice address
247 RACHEL EVANS DR, BOILING SPRINGS, SC 29316-8395
(864) 266-2984
Mailing address
2099 S PINE ST, SUITE B, SPARTANBURG, SC 29302-3349
(864) 583-5831
(864) 583-5832
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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