# KINDRED SOUL HEALTH

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

## Provider details

- **NPI number:** 1609468016
- **Authorized official:** MRS. RAYNELL KOSSEKPA RN (CEO, ADMINISTRATOR)
- **Authorized official phone:** (470) 651-9536

## Contact information

- **Practice address:** 2645 DALLAS HWY SW STE 230, MARIETTA, GA 30064-7578
- **Practice address phone:** (470) 651-9536
- **Mailing address:** 3559 ARGENT WAY, MARIETTA, GA 30008-2201
- **Mailing address phone:** (470) 651-9536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2021
- **Last updated:** 02/07/2021