Provider Demographics
NPI:1902361504
Name:SOLACE HOSPICE CARE LLC
Entity Type:Organization
Organization Name:SOLACE HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HADFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-582-4320
Mailing Address - Street 1:14010 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MO
Mailing Address - Zip Code:63011-4514
Mailing Address - Country:US
Mailing Address - Phone:636-220-4050
Mailing Address - Fax:636-220-9266
Practice Address - Street 1:14010 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MO
Practice Address - Zip Code:63011-4514
Practice Address - Country:US
Practice Address - Phone:636-220-4050
Practice Address - Fax:636-220-9266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based