Provider Demographics
NPI:1861561896
Name:SOLA INC.
Entity type:Organization
Organization Name:SOLA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR-DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRIZIA
Authorized Official - Middle Name:ESTER
Authorized Official - Last Name:NESBITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-694-0036
Mailing Address - Street 1:7228 ARK RD
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23061-4013
Mailing Address - Country:US
Mailing Address - Phone:804-694-0036
Mailing Address - Fax:804-694-0182
Practice Address - Street 1:7228 ARK RD
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-4013
Practice Address - Country:US
Practice Address - Phone:804-694-0036
Practice Address - Fax:804-694-0182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA375320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4943635Medicaid