Provider Demographics
NPI:1124754437
Name:REDWOOD SOLUTION CARE, LLC
Entity type:Organization
Organization Name:REDWOOD SOLUTION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:YEVETTE
Authorized Official - Last Name:REDWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-480-4900
Mailing Address - Street 1:5139 CARIBBEAN BLVD APT 824
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407
Mailing Address - Country:US
Mailing Address - Phone:772-480-4900
Mailing Address - Fax:
Practice Address - Street 1:5139 CARIBBEAN BLVD APT 824
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407
Practice Address - Country:US
Practice Address - Phone:772-480-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services