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Organization
SOUL LLC
Active
Organization
SOUL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEESHA M JONES (CEO/DIRECTOR)
(612) 310-3806
Entity
Organization
Contact information
Practice address
5134 HUMBOLDT AVE N, MINNEAPOLIS, MN 55430-3427
(612) 310-3806
Mailing address
5134 HUMBOLDT AVE N, MINNEAPOLIS, MN 55430-3427
(612) 310-3806
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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