Organization
BRILLIANT MINDS
Active
Other names
Brilliant Minds Health
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER MCCOLLUM MSN (MANAGER)
(850) 247-1990
Entity
Organization
Contact information
Practice address
405 DANBURY CT, SPARTANBURG, SC 29301-5381
(850) 247-1990
Mailing address
405 DANBURY CT, SPARTANBURG, SC 29301-5381
(850) 247-1990
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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