OrganizationActive
Fairfield County Disabilities and Special Needs Board
NPI 1467019778 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Winnsboro, SC
Provider details
- NPI number
- 1467019778
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Brantlee Noland, Director of Regulatory Compliance(803) 635-2154
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Agencies
- Early Intervention Provider Agency252Y00000X
Agencies
Practice location
408 W Washington Street
Winnsboro, SC 29180
Phone: (803) 635-2154
Fax: (803) 635-1064
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 367
Winnsboro, SC 29180
Registry dates
- Enumerated
- 2019-05-22
- Last updated
- 2022-01-25
- Certified
- 2022-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.