Provider Demographics
NPI:1053647719
Name:PEE DEE COMMUNITY ACTION PARTNERSHIP HEAD START
Entity Type:Organization
Organization Name:PEE DEE COMMUNITY ACTION PARTNERSHIP HEAD START
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-678-3414
Mailing Address - Street 1:1601A W LUCAS ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-1225
Mailing Address - Country:US
Mailing Address - Phone:843-678-3414
Mailing Address - Fax:843-667-4158
Practice Address - Street 1:1601A W LUCAS ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-1225
Practice Address - Country:US
Practice Address - Phone:843-678-3414
Practice Address - Fax:843-667-4158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC251300000XOtherLEA