Organization
LOW COUNTRY CARES AUTISM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANNA LYNNE BOSTON BCBA (OWNER)
(630) 207-2154
Entity
Organization
Contact information
Practice address
1516 DEVOL ST, MT PLEASANT, SC 29466-6868
(630) 207-2154
Mailing address
1516 DEVOL ST, MOUNT PLEASANT, SC 29466-6868
(630) 207-2154
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
150512-0132
SC
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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