OrganizationActive
Soul Provider LLC
NPI 1881100774 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Sparks, NV
Provider details
- NPI number
- 1881100774
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kattie Smith, Owner(775) 470-9718
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3646 Caymus Dr
Sparks, NV 89436-7133
Phone: (775) 470-9718
Approximate (ZIP-level) locationGet directions
Mailing address
3646 Caymus Dr
Sparks, NV 89436-7133
Registry dates
- Enumerated
- 2017-12-14
- Last updated
- 2018-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.