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Organization

SOLACE CARE OASIS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHAYNA GLOVER RN (OWNER)
(239) 822-0823
Entity
Organization

Contact information

Practice address
4920 W CYPRESS ST STE 104, TAMPA, FL 33607-3837
(239) 822-0823
Mailing address
1441 GOLDEN GLOW DR, RUSKIN, FL 33570-5465
(239) 822-0823

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency

Other

Enumeration date
10/16/2023
Last updated
10/17/2023
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