Whalio Doctors

NPI 1235733809

Next Level Fitness & Boxing

Organisation Developmentally Disabled Services Day Training Agency North Augusta, SC

Practice location

Address
738 E Martintown Rd, North Augusta, SC 29841-4288
Phone
(803) 292-2480
Mailing address
1059 Todd Ave, North Augusta, SC 29841-4451

Authorised official

Name
Lenola Laverne Cooks
Title
Chief Book Keeper
Phone
(803) 278-5563

Registered specialties

Developmentally Disabled Services Day Training Agency Primary
Agencies Taxonomy 251C00000X

Registry record

NPI
1235733809
Entity type
Organization
NPI issued
24 Nov 2020
Record last updated
24 Nov 2020

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.