Healthcare Provider Details

I. General information

NPI: 1740103373
Provider Name (Legal Business Name): FIRST FRUIT RESIDENTIAL GROUP HOME III, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 LIBERTY RD
CHESTER SC
29706-6939
US

IV. Provider business mailing address

1151 LIBERTY RD
CHESTER SC
29706-6939
US

V. Phone/Fax

Practice location:
  • Phone: 704-674-4898
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MRS. ATTIYYA SHEEREEN CLEAVES
Title or Position: DIRECTOR
Credential:
Phone: 704-674-4898