Provider Demographics
NPI:1871101758
Name:SOLACE HEALTHCARE, INC.
Entity type:Organization
Organization Name:SOLACE HEALTHCARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ATTAIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-843-7787
Mailing Address - Street 1:1701 WESTWIND DR STE 121
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3046
Mailing Address - Country:US
Mailing Address - Phone:661-843-7787
Mailing Address - Fax:
Practice Address - Street 1:1701 WESTWIND DR STE 121
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3046
Practice Address - Country:US
Practice Address - Phone:661-843-7787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-16
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based