NPI 1801732797
Black Tie Soul, LLC
Practice location
- Address
- 3017 Norham Gardens Ln, Warrenville, SC 29851-3353
- Phone
- (706) 461-7895
Authorised official
- Name
- Shequita Gordon
- Title
- Owner
- Phone
- (706) 461-7895
Registered specialties
Home Delivered Meals
Primary
Registry record
- NPI
- 1801732797
- Entity type
- Organization
- NPI issued
- 24 Apr 2026
- Record last updated
- 24 Apr 2026
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.