Provider Demographics
NPI:1598465486
Name:SOLACE FAMILY CARE & RESOURCES LLC
Entity Type:Organization
Organization Name:SOLACE FAMILY CARE & RESOURCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LATAVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:463-265-2844
Mailing Address - Street 1:10823 GATHERING DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46259-7739
Mailing Address - Country:US
Mailing Address - Phone:463-265-2844
Mailing Address - Fax:
Practice Address - Street 1:2120 SPRING ST LOT 28
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-3841
Practice Address - Country:US
Practice Address - Phone:463-265-2844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care