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Theraplayhouse, LLC

Early Intervention Provider Agency in Lake City, SC. Organization (NPI-2).

NPI number1003077611
StatusActive
Last updated in NPPESJun 17, 2008

Details

NPI
1003077611
Entity type
Organization (NPI-2)
Legal business name
Theraplayhouse, LLC
Organization subpart
No
Enumeration date
Jun 17, 2008
Last updated
Jun 17, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
252Y00000X Early Intervention Provider Agency3006SCYes

Practice location

515 Fulmore Rd
Lake City, SC 29560-7903

Phone 843-495-6404

Mailing address

515 Fulmore Rd
Lake City, SC 29560-7903

Phone 843-495-6404

Authorized official

Susan M Palmer
Speech Pathologist/ Initial Agent
8434956404

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Other Early Intervention Provider Agency providers in Lake City, SC

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