Organization · Type 2 NPI
Fairfield County Disabilities and Special Needs Board
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Winnsboro, SC
Practice location
408 W Washington Street
Winnsboro, SC 29180
Fax (803) 635-1064
Mailing address
PO Box 367, 408 W Washington Street
Winnsboro, SC 29180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Early Intervention Provider Agency | 252Y00000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1467019778
Fairfield County Disabilities and Special Needs Board's National Provider Identifier is 1467019778, issued on May 22, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Winnsboro, SC. The record was last updated on Jan 25, 2022.