Provider Demographics
NPI:1912764192
Name:SOLABE FAMILY HEALTH CARE
Entity Type:Organization
Organization Name:SOLABE FAMILY HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MESAY
Authorized Official - Middle Name:
Authorized Official - Last Name:GEBRESILASSIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-261-7099
Mailing Address - Street 1:3132 CASTLELEIGH RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1713
Mailing Address - Country:US
Mailing Address - Phone:240-261-7099
Mailing Address - Fax:706-673-8577
Practice Address - Street 1:3132 CASTLELEIGH RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1713
Practice Address - Country:US
Practice Address - Phone:240-261-7099
Practice Address - Fax:706-673-8577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)