# SPIRIT SOUL & BODY HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083279269
- **Authorized official:** MRS. LATESA FAISON (OWNER)
- **Authorized official phone:** (813) 704-3336

## Contact information

- **Practice address:** 4086 CANARY PALM CIR, PLANT CITY, FL 33566-8310
- **Practice address phone:** (813) 704-3336
- **Mailing address:** 4086 CANARY PALM CIR, PLANT CITY, FL 33566-8310
- **Mailing address phone:** (813) 704-3336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2019
- **Last updated:** 05/03/2019