Organization
SOLACE HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE DENISE JACKSON BSN, RN (OWNER)
(423) 227-8576
Entity
Organization
Contact information
Practice address
4605 CHESTNUT OAK ST, LOGANVILLE, GA 30052-9408
(423) 227-8576
Mailing address
4605 CHESTNUT OAK ST, LOGANVILLE, GA 30052-9408
(423) 227-8576
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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