| NPI | 1609418060 |
|---|---|
| Former Legal Business Name | SOULS OF LIFE HOME HEALTH CARE SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | ANDREA DENISE CHILDS Owner 234-863-5731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |