Organization
KINDRED SOUL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAYNELL KOSSEKPA RN (CEO, ADMINISTRATOR)
(470) 651-9536
Entity
Organization
Contact information
Practice address
2645 DALLAS HWY SW STE 230, MARIETTA, GA 30064-7578
(470) 651-9536
Mailing address
3559 ARGENT WAY, MARIETTA, GA 30008-2201
(470) 651-9536
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/07/2021
Last updated
02/07/2021
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