Healthcare Provider Details

I. General information

NPI: 1023660800
Provider Name (Legal Business Name): SOLID SOLUTION HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2019
Last Update Date: 07/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2612 SILKWOOD CIR APT 722
ORLANDO FL
32818-3378
US

IV. Provider business mailing address

2612 SILKWOOD CIR APT 722
ORLANDO FL
32818-3378
US

V. Phone/Fax

Practice location:
  • Phone: 407-731-4299
  • Fax: 407-951-6552
Mailing address:
  • Phone: 407-731-4299
  • Fax: 407-951-6552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHEVAS LESHARN GRAY
Title or Position: OWNER
Credential:
Phone: 407-731-4299