Organization
SOLACE HOME HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAU GOFAN (CEO)
(248) 766-2746
Entity
Organization
Contact information
Practice address
19315 W 10 MILE RD, SOUTHFIELD, MI 48075-6596
(248) 766-2746
Mailing address
PO BOX 2284, SOUTHFIELD, MI 48037-2284
(248) 766-2746
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
05/16/2023
Last updated
05/18/2023
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