| NPI | 1578211413 |
|---|---|
| Doing Business As | SPIRIT OF LIFE HEALTHCARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | KENNETH MAXIE JACKSON Co Owner 346-291-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-10 |