NPI 1467019778

Fairfield County Disabilities and Special Needs Board

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Winnsboro, SC

Practice location

Address: 408 W Washington Street, Winnsboro, SC 29180
Phone: (803) 635-2154
Fax: (803) 635-1064
Mailing address: PO Box 367 408 W Washington Street, Winnsboro, SC 29180

Authorised official

Name: Brantlee Shae Noland
Title: Director of Regulatory Compliance
Phone: (803) 635-2154

Registered specialties (3)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in South Carolina →

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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Early Intervention Provider Agency

Agencies Taxonomy 252Y00000X

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Registry record

NPI: 1467019778
Entity type: Organization
NPI issued: 22 May 2019
Record last updated: 25 Jan 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.