Provider Demographics
NPI:1750183588
Name:CARE 1 SENIORS CENTER
Entity type:Organization
Organization Name:CARE 1 SENIORS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. CARE COORDINATOR / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:N
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-367-3431
Mailing Address - Street 1:178 BERETTA DR
Mailing Address - Street 2:
Mailing Address - City:EUTAWVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29048-8600
Mailing Address - Country:US
Mailing Address - Phone:843-367-3431
Mailing Address - Fax:803-888-4066
Practice Address - Street 1:178 BERETTA DR
Practice Address - Street 2:
Practice Address - City:EUTAWVILLE
Practice Address - State:SC
Practice Address - Zip Code:29048-8600
Practice Address - Country:US
Practice Address - Phone:843-367-3431
Practice Address - Fax:803-888-4066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty