# SWEET SOUL CARE LLC

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

## Provider details

- **NPI number:** 1184395188
- **Authorized official:** MUSTAFA SEMIAN (VP/ADMIN)
- **Authorized official phone:** (503) 737-7327

## Contact information

- **Practice address:** 12408 MENAUL BLVD NE STE D, ALBUQUERQUE, NM 87112-1785
- **Practice address phone:** (503) 737-7327
- **Mailing address:** 12408 MENAUL BLVD NE STE D, ALBUQUERQUE, NM 87112-1785
- **Mailing address phone:** (503) 737-7327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 09/21/2021
- **Last updated:** 09/21/2021