Organization
SPIRIT SOUL & BODY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATESA FAISON (OWNER)
(813) 704-3336
Entity
Organization
Contact information
Practice address
4086 CANARY PALM CIR, PLANT CITY, FL 33566-8310
(813) 704-3336
Mailing address
4086 CANARY PALM CIR, PLANT CITY, FL 33566-8310
(813) 704-3336
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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