Organization
KEEP SOUL ALIVE SUPPORTIVE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICIA SIMS (OWNER)
(901) 303-4687
Entity
Organization
Contact information
Practice address
3164 ROCHESTER RD, MEMPHIS, TN 38109-3268
(901) 509-3140
Mailing address
3164 ROCHESTER RD, MEMPHIS, TN 38109-3268
(901) 509-3140
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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