NPI 1003527409
Shooting Stars Early Intervention LLC
Practice location
- Address
- 1860 Springvale Rd, Lugoff, SC 29078-9788
- Phone
- (803) 420-8492
Authorised official
- Name
- Maria Nelson
- Title
- Owner
- Phone
- (803) 420-8492
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1003527409
- Entity type
- Organization
- NPI issued
- 7 Dec 2022
- Record last updated
- 7 Dec 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.