Organization
SOLACIUM LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMOLOLA OTUBAGA (NP)
(417) 652-2486
Entity
Organization
Contact information
Practice address
135 BRADFORD SQ STE B, FAYETTEVILLE, GA 30215-1902
(417) 652-2486
Mailing address
3900 CROWN UNIT 16802, ATLANTA, GA 30321-3637
(417) 652-2486
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
04/12/2025
Last updated
04/12/2025
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