Organization
BLOOM EARLY INTERVENTION CO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA VEAL EIS (OWNER)
(803) 412-9118
Entity
Organization
Contact information
Practice address
310 BRYANT BLVD, C/O CYNDI VEAL, ROCK HILL, SC 29732-9256
(803) 412-9118
Mailing address
310 BRYANT BLVD, C/O CYNDI VEAL, ROCK HILL, SC 29732-9256
(803) 412-9118
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427819077
NPPES
—
01
—
7000346532
SC VENDOR NUMBER
SC
Enumeration date
12/14/2024
Last updated
12/14/2024
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