Organization
SOULSTAR HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZIZ WALI (PRESIDENT)
(347) 612-9415
Entity
Organization
Contact information
Practice address
3210 FRIENDSHIP ST, PHILADELPHIA, PA 19149-1515
(347) 612-9415
Mailing address
3210 FRIENDSHIP ST, PHILADELPHIA, PA 19149-1515
(347) 612-9415
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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