Organization
FIRST FRUIT RESIDENTIAL GROUP HOME III, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ATTIYYA SHEEREEN CLEAVES (DIRECTOR)
(704) 674-4898
Entity
Organization
Contact information
Practice address
1151 LIBERTY RD, CHESTER, SC 29706-6939
(704) 674-4898
Mailing address
1151 LIBERTY RD, CHESTER, SC 29706-6939
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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