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Organization
SOLACE CARE, INC.
Active
Organization
SOLACE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA GOMEZ SMITH (CEO)
(917) 405-6992
Entity
Organization
Contact information
Practice address
3551 PEBBLE PATH LN, JACKSONVILLE, FL 32224-1617
(917) 405-6992
Mailing address
3551 PEBBLE PATH LN, JACKSONVILLE, FL 32224-1617
(917) 405-6992
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112604400
—
FL
Enumeration date
09/02/2021
Last updated
02/03/2022
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