Organization
SOUL WEST SERVICES LLC
Active
Other names
Soul West Services
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN REYE GARCIA (PRESIDENT)
(575) 650-8848
Entity
Organization
Contact information
Practice address
6405 S EL CAMINO DR, TEMPE, AZ 85283-3674
(480) 939-0160
Mailing address
6405 S EL CAMINO DR, TEMPE, AZ 85283-3674
(480) 939-0160
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311ZA0620X
Adult Care Home Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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