Organization
SOLACE HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELBY MACK MA, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(303) 432-8487
Entity
Organization
Contact information
Practice address
495 UINTA WAY, SUITE 140, DENVER, CO 80230-7110
(303) 432-8487
Mailing address
495 UINTA WAY, SUITE 140, DENVER, CO 80230
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12159244
ASHA
—
Enumeration date
12/23/2013
Last updated
07/21/2015
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