NPI 1255667473

A Beautful Soul Home Healthcare/Housekeeping

Organisation Preferred Provider Organization Sparks, NV

Practice location

Address: 3528 Mashie Dr, Sparks, NV 89431-8522
Phone: (775) 342-7437

Authorised official

Name: Ebony Shaunte Richardson
Title: Owner
Phone: (775) 342-7437

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 491105 (NV)

Other Preferred Provider Organization providers in Nevada →

Registry record

NPI: 1255667473
Entity type: Organization
NPI issued: 22 Oct 2009
Record last updated: 22 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.