Provider Demographics
NPI:1245600246
Name:SOLACE HOME HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:SOLACE HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHASITY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:281-622-5569
Mailing Address - Street 1:127 N SAN JACINTO AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-3907
Mailing Address - Country:US
Mailing Address - Phone:281-592-0977
Mailing Address - Fax:
Practice Address - Street 1:127 N SAN JACINTO AVE STE 211
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-3907
Practice Address - Country:US
Practice Address - Phone:281-592-0977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-02
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health