# NANA'S HOUSE SOLANO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366322554
- **Authorized official:** LISA TOLBERT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (510) 385-7421

## Contact information

- **Practice address:** 720 TAYLOR ST, FAIRFIELD, CA 94533-5727
- **Practice address phone:** (510) 385-7421
- **Mailing address:** 4160 SUISUN VALLEY RD \# E610, FAIRFIELD, CA 94534-4016
- **Mailing address phone:** (510) 385-7421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2025
- **Last updated:** 09/08/2025