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NPI Code Detail

MEDICARE: FAMILIES FIRST ALWAYS

MEDICARE: FAMILIES FIRST ALWAYS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251K00000XPublic Health or Welfare Agency
2251S00000XCommunity/Behavioral Health Agency
3252Y00000XEarly Intervention Provider Agency
4261QC1500XCommunity Health Clinic/Center
5251B00000XCase Management Agency

General Provider Information

NPI Number : 1861047706
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILIES FIRST ALWAYS
Provider Business Mailing Address
First Line : 873 NEAR CREEK DR
Second Line :
City : BLYTHEWOOD
State : SC
Zip : 29016-6905
Country : US
Telephone Number : 843-906-2394
Fax Number :
Provider Business Practice Location Address
First Line : 1717 GERVAIS ST # 104
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-3415
Country : US
Telephone Number : 803-904-5488
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. JONIQUE MARGUERITE SMALLS COMRIE
Credential :
Telephone Number : 803-904-5488
Provider Enumeration Date : 08/07/2019
Last Update Date : 08/07/2019

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Directions to “FAMILIES FIRST ALWAYS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.