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Organization
SOLACE SUPPORTIVE LIVING, INC.
Active
Organization
SOLACE SUPPORTIVE LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MACREDES (EXECUTIVE DIRECTOR)
(408) 293-6372
Entity
Organization
Contact information
Practice address
77 S 12TH ST, SAN JOSE, CA 95112-2020
(408) 293-6372
(408) 293-6056
Mailing address
77 S 12TH ST, SAN JOSE, CA 95112-2020
(408) 293-6372
(408) 293-6056
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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