# SOULFULSPACE HOME HEALTH INC

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

## Provider details

- **NPI number:** 1659130144
- **Authorized official:** DESSIE REE JONES (CEO)
- **Authorized official phone:** (630) 717-2745

## Contact information

- **Practice address:** 27475 FERRY RD STE 119, WARRENVILLE, IL 60555-3808
- **Practice address phone:** (630) 717-2745
- **Practice address fax:** (847) 483-1309
- **Mailing address:** 27475 FERRY RD STE 119, WARRENVILLE, IL 60555-3808
- **Mailing address phone:** (630) 717-2745
- **Mailing address fax:** (847) 483-1309

## Taxonomy

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

## Other

- **Enumeration date:** 03/18/2024
- **Last updated:** 10/03/2025