Provider Demographics
NPI:1235391558
Name:GLEAMNS HUMAN RESOURCES COMMISSION
Entity Type:Organization
Organization Name:GLEAMNS HUMAN RESOURCES COMMISSION
Other - Org Name:LEGACY
Other - Org Type:Other Name
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TEREASA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-942-8766
Mailing Address - Street 1:237 N HOSPITAL ST
Mailing Address - Street 2:P O BOX 1326
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-2962
Mailing Address - Country:US
Mailing Address - Phone:864-223-8434
Mailing Address - Fax:864-223-9546
Practice Address - Street 1:237 N HOSPITAL ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-2962
Practice Address - Country:US
Practice Address - Phone:864-223-8434
Practice Address - Fax:864-223-9546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency