Provider Demographics
NPI:1821770033
Name:SOULFUL SOLUTIONS INC
Entity type:Organization
Organization Name:SOULFUL SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLENEUVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-208-5161
Mailing Address - Street 1:PO BOX 292
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-0292
Mailing Address - Country:US
Mailing Address - Phone:651-461-1421
Mailing Address - Fax:651-461-1340
Practice Address - Street 1:6803 CHANNEL RD NE
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-4619
Practice Address - Country:US
Practice Address - Phone:651-342-0813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2024-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No253Z00000XAgenciesIn Home Supportive Care