Provider Demographics
NPI:1346548740
Name:SENIOR CARE CONSULTANTS OF SOUTH CAROLINA
Entity Type:Organization
Organization Name:SENIOR CARE CONSULTANTS OF SOUTH CAROLINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:A
Authorized Official - Last Name:PICOU
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:864-278-4100
Mailing Address - Street 1:PO BOX 9173
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29305-9173
Mailing Address - Country:US
Mailing Address - Phone:864-590-8460
Mailing Address - Fax:888-545-1552
Practice Address - Street 1:110 DILLON DR
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-1018
Practice Address - Country:US
Practice Address - Phone:864-590-8460
Practice Address - Fax:888-545-1552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty