| Soul Care Place Llc | |
|
113 N Broad St Ste D Grove City PA 16127-1653 | |
| (724) 264-5506 | |
| Not Available |
| Full Name | Soul Care Place Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 113 N Broad St Ste D, Grove City, Pennsylvania |
| Authorized Official Name and Position | Elaine B Timko (DIRECTOR) |
| Authorized Official Contact | 7249922244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Care Place Llc 104 Macrae Dr Grove City PA 16127-4228 Ph: (724) 992-2244 | Soul Care Place Llc 113 N Broad St Ste D Grove City PA 16127-1653 Ph: (724) 264-5506 |
| NPI Number | 1063001907 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063001907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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