Provider Demographics
NPI:1205178027
Name:SELECT ONE HEALTHCARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:SELECT ONE HEALTHCARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHASTITY
Authorized Official - Middle Name:NEWTON
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-760-1435
Mailing Address - Street 1:403 HIGHWAY 28 BYP
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29624-3044
Mailing Address - Country:US
Mailing Address - Phone:864-760-1435
Mailing Address - Fax:864-760-1437
Practice Address - Street 1:403 HIGHWAY 28 BYP
Practice Address - Street 2:SUITE 4
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29624-3044
Practice Address - Country:US
Practice Address - Phone:864-760-1435
Practice Address - Fax:864-760-1437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care