Organization
BEYOND THE STARS EARLY INTERVENTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY S COX (OWNER)
(843) 373-8140
Entity
Organization
Contact information
Practice address
3871 DEWEY COX RD, LAKE CITY, SC 29560-7584
(843) 389-3228
(843) 389-3229
Mailing address
PO BOX 455, LAKE CITY, SC 29560-0455
(843) 373-8140
(843) 389-3229
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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