Organization
AHEAD START LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIDRE MARTIN (OWNER)
(864) 569-9995
Entity
Organization
Contact information
Practice address
117 MANLY ST, GREENVILLE, SC 29601-3024
(864) 569-9995
Mailing address
117 MANLY ST, GREENVILLE, SC 29601-3024
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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