Provider Demographics
NPI:1477214849
Name:SOLACE NON-EMERGENCY MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:SOLACE NON-EMERGENCY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANJEH
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMAZE-CHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-528-5923
Mailing Address - Street 1:8492 CHAPOTE RD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-1370
Mailing Address - Country:US
Mailing Address - Phone:408-528-5923
Mailing Address - Fax:469-579-4712
Practice Address - Street 1:8492 CHAPOTE RD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-1370
Practice Address - Country:US
Practice Address - Phone:140-852-8592
Practice Address - Fax:469-579-4712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)