institution
Soul Provider Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Sparks, Nevada
NPI 1881100774

Soul Provider Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Sparks, NV. Soul Provider Llc practices in Sparks, NV. The NPI Number for Soul Provider Llc is 1881100774 and holds a License No. (Nevada).

The current practice location address for Soul Provider Llc is 3646 Caymus Dr, Sparks, NV and can be reached out via phone at 775-470-9718. You can also correspond with Soul Provider Llc through the mailing address at 3646 CAYMUS DR, SPARKS, NV - 89436-7133 (mailing address contact number: 775-470-9718).

Location: 3646 Caymus Dr, Sparks, NV, 89436-7133
institution
Provider Profile Details
NPI Number
1881100774
Provider Name
Soul Provider Llc
Credential
Provider Entity Type
Organization
Address
3646 Caymus Dr, Sparks, NV, 89436-7133
Phone Number
775-470-9718
Fax Number
Provider Enumeration Date
12/14/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3646 Caymus Dr
City
State
Zip
89436-7133
Phone Number
775-470-9718
Fax Number
person
Provider Business Mailing Address Details
Address
3646 Caymus Dr
City
State
Zip
89436-7133
Phone Number
775-470-9718
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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