Healthcare Provider Details

I. General information

NPI: 1265876296
Provider Name (Legal Business Name): SOLUTION EXPERTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2013
Last Update Date: 04/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4715 LANGDALE DR
ORLANDO FL
32808-2081
US

IV. Provider business mailing address

4715 LANGDALE DR
ORLANDO FL
32808-2081
US

V. Phone/Fax

Practice location:
  • Phone: 617-208-7975
  • Fax:
Mailing address:
  • Phone: 617-208-7975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: ANDIE MATHURIN
Title or Position: CEO
Credential:
Phone: 617-208-7975