Provider Demographics
NPI:1225205750
Name:SENIOR SOLUTIONS
Entity Type:Organization
Organization Name:SENIOR SOLUTIONS
Other - Org Name:CINEMA ADULT DAY CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PREISNET/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-225-3370
Mailing Address - Street 1:3420 CLEMSON BLVD
Mailing Address - Street 2:UNIT #17
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-1324
Mailing Address - Country:US
Mailing Address - Phone:864-225-3370
Mailing Address - Fax:864-225-0215
Practice Address - Street 1:3420 CLEMSON BLVD
Practice Address - Street 2:UNIT #17
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1324
Practice Address - Country:US
Practice Address - Phone:864-225-3370
Practice Address - Fax:864-225-0215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCADC 246261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX0573Medicaid