Provider Demographics
NPI:1104134030
Name:SOLUTIONS FOR INDEPENDENT LIVING
Entity type:Organization
Organization Name:SOLUTIONS FOR INDEPENDENT LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LORICE
Authorized Official - Last Name:GRIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-595-2732
Mailing Address - Street 1:6801 LAKE WORTH ROAD
Mailing Address - Street 2:101
Mailing Address - City:GREENACERS
Mailing Address - State:FL
Mailing Address - Zip Code:33463
Mailing Address - Country:US
Mailing Address - Phone:561-594-2732
Mailing Address - Fax:561-333-2466
Practice Address - Street 1:6801 LAKE WORTH ROAD
Practice Address - Street 2:101
Practice Address - City:GREENACERS
Practice Address - State:FL
Practice Address - Zip Code:33463
Practice Address - Country:US
Practice Address - Phone:561-594-2732
Practice Address - Fax:561-333-2466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care