Soul Provider LLC
Soul Provider LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Sparks, Nevada. Registered with an NPI since 2017.
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3646 Caymus DrSparks, NV 89436-7133
Phone: (775) 470-9718
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1881100774 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kattie Smith — Owner · (775) 470-9718 |
| NPI enumerated | December 14, 2017 |
| Last updated in NPPES | April 23, 2018 |
| Mailing address | 3646 Caymus Dr, Sparks, NV 89436-7133 |
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