Provider Demographics
NPI:1487117222
Name:ALLENDALE AND BARNWELL COUNTIES DISABILITIES AND SPECIAL NEEDS BOARD
Entity type:Organization
Organization Name:ALLENDALE AND BARNWELL COUNTIES DISABILITIES AND SPECIAL NEEDS BOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-259-7472
Mailing Address - Street 1:20 PARK ST
Mailing Address - Street 2:PO BOX 556
Mailing Address - City:BARNWELL
Mailing Address - State:SC
Mailing Address - Zip Code:29812-0556
Mailing Address - Country:US
Mailing Address - Phone:803-259-7472
Mailing Address - Fax:
Practice Address - Street 1:20 PARK ST
Practice Address - Street 2:
Practice Address - City:BARNWELL
Practice Address - State:SC
Practice Address - Zip Code:29812-2900
Practice Address - Country:US
Practice Address - Phone:803-259-7472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency