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Organization
SWEET SOUL CARE LLC
Active
Organization
SWEET SOUL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA SEMIAN (VP/ADMIN)
(503) 737-7327
Entity
Organization
Contact information
Practice address
12408 MENAUL BLVD NE STE D, ALBUQUERQUE, NM 87112-1785
(503) 737-7327
Mailing address
12408 MENAUL BLVD NE STE D, ALBUQUERQUE, NM 87112-1785
(503) 737-7327
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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