OrganizationActive
Beyond the Stars Early Intervention LLC
NPI 1669005732 · Early Intervention Provider Agency · Lake City, SC
Provider details
- NPI number
- 1669005732
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Wendy Cox, Owner(843) 373-8140
Specialties & taxonomies
Agencies
Practice location
3871 Dewey Cox Rd
Lake City, SC 29560-7584
Phone: (843) 389-3228
Fax: (843) 389-3229
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 455
Lake City, SC 29560-0455
Registry dates
- Enumerated
- 2020-02-18
- Last updated
- 2020-02-18
- Certified
- 2020-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.