Provider Demographics
NPI:1710595202
Name:SOLIDARITY MEDICAL CARE
Entity Type:Organization
Organization Name:SOLIDARITY MEDICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF NURSING PRACTICE (DNP)
Authorized Official - Prefix:
Authorized Official - First Name:NDONGO
Authorized Official - Middle Name:
Authorized Official - Last Name:LIKEMBI
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:256-797-1807
Mailing Address - Street 1:4024 WINDSWEPT DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35757-7927
Mailing Address - Country:US
Mailing Address - Phone:256-797-1807
Mailing Address - Fax:
Practice Address - Street 1:4024 WINDSWEPT DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35757-7927
Practice Address - Country:US
Practice Address - Phone:256-797-1807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization