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 11 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