NPI 1275994022

Kennedy's Assistive Living and Educational Facilty

Organisation Local Education Agency (LEA) Columbia, SC

Practice location

Address: 1941 Decker Blvd, Columbia, SC 29206-3470
Phone: (803) 787-0020

Authorised official

Name: Carolyn a Kennedy
Title: Chief Executive Officer
Phone: (803) 736-5872

Registered specialties (7)

Local Education Agency (LEA) Primary

Agencies Taxonomy 251300000X

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Early Intervention Provider Agency

Agencies Taxonomy 252Y00000X

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Early Intervention Provider Agency

Agencies Taxonomy 252Y00000X Licence 2016-38336-37480

In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Registry record

NPI: 1275994022
Entity type: Organization
NPI issued: 8 Mar 2016
Record last updated: 8 Mar 2016

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.