Organization
FAIRFIELD COUNTY DISABILITIES AND SPECIAL NEEDS BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRANTLEE SHAE NOLAND (DIRECTOR OF REGULATORY COMPLIANCE)
(803) 635-2154
Entity
Organization
Contact information
Practice address
408 W WASHINGTON STREET, WINNSBORO, SC 29180
(803) 635-2154
(803) 635-1064
Mailing address
PO BOX 367, 408 W WASHINGTON STREET, WINNSBORO, SC 29180
(803) 635-2154
(803) 635-1064
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
01/25/2022
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