=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578730172
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SENIOR SOLUTIONS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/13/2008
-----------------------------------------------------
Last Update Date | 05/13/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 101 PERRY AVE
-----------------------------------------------------
City | SENECA
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29678-3565
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-885-1000
-----------------------------------------------------
Fax | 864-885-1509
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3420 CLEMSON BLVD UNIT #17
-----------------------------------------------------
City | ANDERSON
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29621-1324
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-225-3370
-----------------------------------------------------
Fax | 864-225-0215
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | DOUGLAS A WRIGHT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 864-225-3370
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA0600X
-----------------------------------------------------
Taxonomy Name | Adult Day Care Clinic/Center
-----------------------------------------------------
License Number | ADC 046
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------