OrganizationSoul Of A Woman Support ServicesCommunity/Behavioral HealthAgenciesPractice Address4084 Barrett Dr, Raleigh, NC 27609-6604(919) 358-9734PECOS EnrollmentBased on the most recent information from CMS, provider Soul Of A Woman Support Services does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1063740652Provider TypeOrganizationFull NameSoul Of A Woman Support ServicesSubpartNoEnumeration Date11/19/2009Last Updated11/19/2009Contact InformationPractice LocationPractice Address4084 Barrett Dr, Raleigh, NC 27609-6604Phone(919) 358-9734FaxUnlisted FaxMailing LocationMailing Address4084 Barrett Dr, Raleigh, NC 27609-6604Phone(919) 358-9734FaxUnlisted FaxAuthorized OfficialNameMassey, Natalka Lock (Executive Director)Phone(919) 358-9734Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer