Organization
MIND BODY AND SOUL HOMECARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALIA C LUCAS-SMITH (NURSE)
(404) 839-2107
Entity
Organization
Contact information
Practice address
565 HANK AARON DR SW APT 5090, ATLANTA, GA 30312-2889
(404) 839-2107
Mailing address
565 HANK AARON DR SW APT 5090, ATLANTA, GA 30312-2889
(404) 839-2107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251J00000X
Nursing Care Agency
Primary
—
—
363L00000X
Nurse Practitioner
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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