Healthcare Provider Details

I. General information

NPI: 1043550247
Provider Name (Legal Business Name): SOLO CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2013
Last Update Date: 02/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 MURFREESBORO PIKE STE 209
NASHVILLE TN
37217-6306
US

IV. Provider business mailing address

2131 MURFREESBORO PIKE SUITE 209
MURFREESBORO TN
37217
US

V. Phone/Fax

Practice location:
  • Phone: 713-344-4519
  • Fax: 832-449-3007
Mailing address:
  • Phone: 713-344-4519
  • Fax: 832-449-3007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number311Z00000X
License Number StateTN

VIII. Authorized Official

Name: MRS. BEATRICE NKOLI MBONU
Title or Position: REGISTERED NURSE
Credential: RN
Phone: 713-344-4519