Organization
SOLACE PRIVATE DUTY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAU GOFAN (CEO)
(248) 606-7233
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
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/18/2023
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