Organization
SOLA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRIZIA ESTER NESBITT (ADMINISTRATOR-DIRECTOR)
(804) 694-0036
Entity
Organization
Contact information
Practice address
7228 ARK RD, GLOUCESTER, VA 23061-4013
(804) 694-0036
(804) 694-0182
Mailing address
7228 ARK RD, GLOUCESTER, VA 23061-4013
(804) 694-0036
(804) 694-0182
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
375
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4943635
—
VA
Enumeration date
11/06/2006
Last updated
08/22/2020
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