Provider Demographics
NPI:1003479395
Name:CHESCO SERVICES
Entity Type:Organization
Organization Name:CHESCO SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-623-5436
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:SC
Mailing Address - Zip Code:29709-0151
Mailing Address - Country:US
Mailing Address - Phone:843-623-9016
Mailing Address - Fax:843-623-5406
Practice Address - Street 1:1224 EAST BLVD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:SC
Practice Address - Zip Code:29709-5148
Practice Address - Country:US
Practice Address - Phone:843-623-9016
Practice Address - Fax:843-623-5406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency