Provider Demographics
NPI:1295291383
Name:SOLACE BIZ, INC
Entity type:Organization
Organization Name:SOLACE BIZ, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:CANTY
Authorized Official - Suffix:
Authorized Official - Credentials:PRINCIPAL OWNER
Authorized Official - Phone:336-460-5419
Mailing Address - Street 1:802 COX AVE
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360-2943
Mailing Address - Country:US
Mailing Address - Phone:336-460-5419
Mailing Address - Fax:
Practice Address - Street 1:802 COX AVE
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-2943
Practice Address - Country:US
Practice Address - Phone:336-460-5419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle