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NPI Lookup from the NPI Registry — National Provider Identifier Database

FRESH START COMMUNITY DEVELOPMENT CORPORATION

Early Intervention Provider Agency

Contact Information

FRESH START COMMUNITY DEVELOPMENT CORPORATION
1484 PEARMAN DAIRY RD
ANDERSON, SC29625-2000
 Phone: 888-603-8293
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for FRESH START COMMUNITY DEVELOPMENT CORPORATION

NPI Number 1811168651
LBN Legal business name FRESH START COMMUNITY DEVELOPMENT CORPORATION
Authorized official ERICK BRADSHAW - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2008
Last updated 03/20/2008 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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