# SPIRIT OF LIFE NURSE SOLUTIONS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spirit of Life Healthcare Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578211413
- **Authorized official:** KENNETH MAXIE JACKSON (CO-OWNER)
- **Authorized official phone:** (346) 291-0366

## Contact information

- **Practice address:** 13331 VETERANS MEMORIAL DR STE G, HOUSTON, TX 77014-1610
- **Practice address phone:** (346) 291-0366
- **Practice address fax:** (346) 273-2168
- **Mailing address:** 13331 VETERANS MEMORIAL DR STE G, HOUSTON, TX 77014-1610
- **Mailing address phone:** (346) 291-0366
- **Mailing address fax:** (346) 273-2168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA2000X | Administrator Registered Nurse | — | NULL | — |
| 163WA2000X | Administrator Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |

## Other

- **Enumeration date:** 03/10/2022
- **Last updated:** 03/10/2022