Provider Demographics
NPI:1134010713
Name:SOLACE HOSPICE OF SOUTHWEST VIRGINIA
Entity type:Organization
Organization Name:SOLACE HOSPICE OF SOUTHWEST VIRGINIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHANNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WESTERN
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN, CHPN
Authorized Official - Phone:434-660-5831
Mailing Address - Street 1:515 E LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:WYTHEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24382-3222
Mailing Address - Country:US
Mailing Address - Phone:540-320-2011
Mailing Address - Fax:
Practice Address - Street 1:225 SPRING MEADOW DR
Practice Address - Street 2:
Practice Address - City:WYTHEVILLE
Practice Address - State:VA
Practice Address - Zip Code:24382-2552
Practice Address - Country:US
Practice Address - Phone:434-660-5831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based