Organization
VASCULAR ACCESS STAT, LLC
Active
Other names
The Solace Group, Inc, Vascular Access Stat
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE OUMA FORD RN (MANAGING MEMBER)
(586) 460-9625
Entity
Organization
Contact information
Practice address
43191 DALCOMA DR STE 102, CLINTON TOWNSHIP, MI 48038-6308
(586) 460-9625
Mailing address
34390 COUNTRY MEADOW RD, CHESTERFIELD, MI 48047-3161
(313) 300-3530
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/25/2021
Last updated
10/18/2024
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