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Organization

SOULFUL CARE LLC

Active
Other names
Soulful Care LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. HIYAB GEBRETENSAY (OWNER)
(301) 395-0890
Entity
Organization

Contact information

Practice address
9103 COLGROVE CT, LORTON, VA 22079-1725
(301) 395-0890
Mailing address
9103 COLGROVE CT, LORTON, VA 22079-1725
(301) 395-0890

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
04/21/2025
Last updated
06/17/2025
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