Provider Demographics
NPI:1144666389
Name:FLOERNCE SCHOOL DISTRIC #1
Entity type:Organization
Organization Name:FLOERNCE SCHOOL DISTRIC #1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL INTERVENTIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:WARDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-664-8448
Mailing Address - Street 1:2323 OLIVIA LN
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:SC
Mailing Address - Zip Code:29541-4450
Mailing Address - Country:US
Mailing Address - Phone:843-617-9908
Mailing Address - Fax:
Practice Address - Street 1:2323 OLIVIA LN
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:SC
Practice Address - Zip Code:29541-4450
Practice Address - Country:US
Practice Address - Phone:843-617-9908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty