Organization
SOUL WEST SERVICES LLC
Active
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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