Healthcare Provider Details

I. General information

NPI: 1063674935
Provider Name (Legal Business Name): SOLVIS MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 05/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29433 SOUTHFIELD RD STE. 106
SOUTHFIELD MI
48076-2031
US

IV. Provider business mailing address

1925 PALOMAR OAKS WAY STE. 107
CARLSBAD CA
92008-6526
US

V. Phone/Fax

Practice location:
  • Phone: 248-559-6610
  • Fax:
Mailing address:
  • Phone: 760-444-6185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS DEBBIE J VADEN
Title or Position: DIRECTOR OF MEDICAL SERVICES
Credential: RN
Phone: 760-444-6185