Provider Demographics
NPI:1093508814
Name:SOLEIL RESIDENTIAL SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:SOLEIL RESIDENTIAL SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PROMISE
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHUJIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-412-7479
Mailing Address - Street 1:2700 NEABSCO COMMON PL APT 530
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-6789
Mailing Address - Country:US
Mailing Address - Phone:571-412-7479
Mailing Address - Fax:
Practice Address - Street 1:2700 NEABSCO COMMON PL APT 530
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-6789
Practice Address - Country:US
Practice Address - Phone:571-412-7479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-24
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care