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General NPI Number Information
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NPI Number | 1245600246
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Entity Type | Organization
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Legal Business Name | SOLACE HOME HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 10/02/2015
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Last Update Date | 12/15/2015
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Provider Practice Location Address
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Address Line | 127 N SAN JACINTO AVE STE 211
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City | CLEVELAND
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State | TX
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Zip | 77327-3907
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Country | US
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Telephone | 281-592-0977
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Fax |
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Provider Business Mailing Address
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Address Line | 127 N SAN JACINTO AVE STE 211
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City | CLEVELAND
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State | TX
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Zip | 77327-3907
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Country | US
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Telephone | 281-592-0977
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHASITY WOOD
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Credential | BSN, RN
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Telephone | 281-622-5569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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