Soulful Wellness Health Agency LLC
Nursing Care in Savannah, GA. Organization (NPI-2).
NPI number1033907720
StatusActive
Last updated in NPPESApr 30, 2025
Details
- NPI
- 1033907720
- Entity type
- Organization (NPI-2)
- Legal business name
- Soulful Wellness Health Agency LLC
- Organization subpart
- No
- Enumeration date
- Apr 30, 2025
- Certification date
- Apr 30, 2025
- Last updated
- Apr 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251J00000X | Nursing Care | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 251G00000X | Hospice Care, Community Based | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | – | – | |
| 313M00000X | Nursing Facility/Intermediate Care Facility | – | – | |
| 174200000X | Meals | – | – | |
| 347C00000X | Private Vehicle | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
10 Colony CtSavannah, GA 31419-2810
Phone 912-400-7649
Mailing address
10 Colony CtSavannah, GA 31419-2810
Phone 912-400-7649
Authorized official
Johnesha Grant
Owner
9124007649
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