Healthcare Provider Details
I. General information
NPI: 1548846819
Provider Name (Legal Business Name): EDUCATIONAL STEPS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/18/2021
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1860 GREENMORE DR
CHARLESTON SC
29407-3520
US
IV. Provider business mailing address
1860 GREENMORE DR
CHARLESTON SC
29407-3520
US
V. Phone/Fax
- Phone: 803-552-5531
- Fax:
- Phone: 803-552-5531
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
SINGLETON
Title or Position: OWNER
Credential:
Phone: 803-552-5531