Provider Demographics
NPI:1164985487
Name:SOLACE HEALTHCARE SOLUTIONS, LLC
Entity type:Organization
Organization Name:SOLACE HEALTHCARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PETIT-FRERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-266-8960
Mailing Address - Street 1:16 GREENDALE RD UNIT 2
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02126-1530
Mailing Address - Country:US
Mailing Address - Phone:781-266-8960
Mailing Address - Fax:
Practice Address - Street 1:16 GREENDALE RD UNIT 2
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02126-1530
Practice Address - Country:US
Practice Address - Phone:781-266-8960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-12
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty