Organization
HEALTHY SOUL KITCHEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY KELSON ALEXIS (OWNER)
(225) 408-9415
Entity
Organization
Contact information
Practice address
13275 RUE MAISON BLVD, GONZALES, LA 70737-6562
(225) 408-9415
Mailing address
13275 RUE MAISON BLVD, GONZALES, LA 70737-6562
(225) 408-9415
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
01/05/2022
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