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Organization

PEE DEE KIDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TCHALLA Y DOUGLAS (OWNER/EARLY INTERVENTION SUPERVISOR)
(843) 230-8824
Entity
Organization

Contact information

Practice address
347 DOVESVILLE HWY, DARLINGTON, SC 29540-9366
(843) 230-8824
(877) 827-5681
Mailing address
PO BOX 607, DARLINGTON, SC 29540-0607
(843) 230-8824
(877) 827-5681

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
06/03/2019
Last updated
06/03/2019
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