Provider Demographics
NPI:1285907303
Name:SOLACE HOSPICE & PALLIATIVE CARE, INC.
Entity type:Organization
Organization Name:SOLACE HOSPICE & PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARMILA
Authorized Official - Middle Name:O
Authorized Official - Last Name:HIZON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-250-5036
Mailing Address - Street 1:40W310 LAFOX RD UNIT K2
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60175-6588
Mailing Address - Country:US
Mailing Address - Phone:847-250-5036
Mailing Address - Fax:847-250-5467
Practice Address - Street 1:40W310 LAFOX RD UNIT K2
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60175-6588
Practice Address - Country:US
Practice Address - Phone:847-250-5036
Practice Address - Fax:847-250-5467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based