Provider Demographics
NPI:1427321991
Name:MAXIMUS SOLACIUM, INC.
Entity type:Organization
Organization Name:MAXIMUS SOLACIUM, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SALAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-777-1075
Mailing Address - Street 1:720 3RD AVE
Mailing Address - Street 2:SUITE 1901
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1868
Mailing Address - Country:US
Mailing Address - Phone:206-777-1075
Mailing Address - Fax:206-777-1073
Practice Address - Street 1:720 3RD AVE
Practice Address - Street 2:SUITE 1901
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1868
Practice Address - Country:US
Practice Address - Phone:206-777-1075
Practice Address - Fax:206-777-1073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health