Provider Demographics
NPI:1477006179
Name:RETIREEASE SENIOR SERVICES, INC.
Entity Type:Organization
Organization Name:RETIREEASE SENIOR SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARROTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-408-1500
Mailing Address - Street 1:PO BOX 101
Mailing Address - Street 2:1670 SPRINGDALE DR STE 9
Mailing Address - City:CAMDEN
Mailing Address - State:SC
Mailing Address - Zip Code:29020-5001
Mailing Address - Country:US
Mailing Address - Phone:803-408-1500
Mailing Address - Fax:803-408-1736
Practice Address - Street 1:12 DOOLEY DRIVE
Practice Address - Street 2:
Practice Address - City:LUGOFF
Practice Address - State:SC
Practice Address - Zip Code:29078
Practice Address - Country:US
Practice Address - Phone:803-408-1500
Practice Address - Fax:803-408-1736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCIHCP-0188253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care