Organization
PREMIER EARLY INTERVENTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERDRELL WASHINGTON (CEO)
(803) 873-4981
Entity
Organization
Contact information
Practice address
528 BATTERY PARK RD, NESMITH, SC 29580-3046
(803) 873-4981
Mailing address
PO BOX 224662, CHRISTIANSTED, VI 00822-4662
(803) 873-4981
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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