Organization
CHOSEN SOULS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA JACQUES (OWNER)
(561) 388-3276
Entity
Organization
Contact information
Practice address
3901 NW 79TH AVE, STE 245 #1876, MIAMI, FL 33166
(570) 202-6261
Mailing address
750 OAKLAND HILLS CIR APT 104, LAKE MARY, FL 32746-5849
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
09/21/2021
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