Provider Demographics
NPI:1336398148
Name:THERE'S ROOM, INCORPORATED
Entity Type:Organization
Organization Name:THERE'S ROOM, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:GADSDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-708-4712
Mailing Address - Street 1:PO BOX 2741
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29202-2741
Mailing Address - Country:US
Mailing Address - Phone:803-708-4712
Mailing Address - Fax:803-708-4718
Practice Address - Street 1:2018 TAYLOR STREET
Practice Address - Street 2:SUITE E
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204
Practice Address - Country:US
Practice Address - Phone:803-708-4712
Practice Address - Fax:803-708-4718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSR1009849001CPA253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency