Organization
FRESH START COMMUNITY DEVELOPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERICK L BRADSHAW SR. BS (PRESIDENT)
(864) 621-4047
Entity
Organization
Contact information
Practice address
1484 PEARMAN DAIRY RD, ANDERSON, SC 29625-2000
(888) 603-8293
Mailing address
PO BOX 4440, ANDERSON, SC 29622-4440
(888) 603-8293
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
SC
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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