Provider Demographics
NPI:1326602319
Name:HANDS ON DEVELOPMENTAL SERVICES, LLC
Entity Type:Organization
Organization Name:HANDS ON DEVELOPMENTAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELOISE
Authorized Official - Middle Name:W
Authorized Official - Last Name:PEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-612-3412
Mailing Address - Street 1:PO BOX 1342
Mailing Address - Street 2:
Mailing Address - City:ROEBUCK
Mailing Address - State:SC
Mailing Address - Zip Code:29376-1342
Mailing Address - Country:US
Mailing Address - Phone:864-804-6215
Mailing Address - Fax:864-804-6238
Practice Address - Street 1:211 BRIARCLIFF RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-3017
Practice Address - Country:US
Practice Address - Phone:864-804-6215
Practice Address - Fax:864-804-6238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency