Organization
SMART START EARLY INTERVENTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE LEIGH MUMFORD (OWNER)
(843) 439-7305
Entity
Organization
Contact information
Practice address
2275 SALEM RD, BENNETTSVILLE, SC 29512-8441
(843) 439-7305
(843) 528-1717
Mailing address
2275 SALEM RD, BENNETTSVILLE, SC 29512-8441
(843) 439-7305
(843) 528-1717
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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