Provider Demographics
NPI:1992100317
Name:SOLACE HOSPICE
Entity type:Organization
Organization Name:SOLACE HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:HYNDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSE
Authorized Official - Phone:404-509-3352
Mailing Address - Street 1:1597 DEER CROSSING PT
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-8008
Mailing Address - Country:US
Mailing Address - Phone:404-509-3352
Mailing Address - Fax:
Practice Address - Street 1:1597 DEER CROSSING PT
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-8008
Practice Address - Country:US
Practice Address - Phone:404-509-3352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based