Organization
CAROLINA BLOOMS EARLY INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRELL TENNIE (ADMINISTRATOR)
(919) 217-0933
Entity
Organization
Contact information
Practice address
1245 CELEBRATION BLVD, FLORENCE, SC 29501-5499
(864) 584-8315
(864) 551-2758
Mailing address
1245 CELEBRATION BLVD, FLORENCE, SC 29501-5499
(864) 584-8315
(864) 551-2758
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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