Soul Provider Llc

LBN: Soul Provider Llc
Soul Provider Llc is an health care organization with primary practice located at 3646 Caymus Dr , Sparks NV 89436-7133. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Soul Provider Llc can be contacted via phone (775) 470-9718, or through Smith, Kattie via phone (775) 470-9718.

Contact Information

Primary practice address
3646 Caymus Dr Sparks NV 89436-7133
Phone: (775) 470-9718
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Kattie
Phone: (775) 470-9718

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1881100774
LBN Legal business name Soul Provider Llc
DBA Doing business as
Authorized official Smith, Kattie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2017
Last updated Apr 23rd, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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