Provider Demographics
NPI:1164676649
Name:SOUND SUPPORT, INC
Entity Type:Organization
Organization Name:SOUND SUPPORT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MAVIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:MANTHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-983-2942
Mailing Address - Street 1:610A E BIDWELL ST
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3121
Mailing Address - Country:US
Mailing Address - Phone:916-983-2942
Mailing Address - Fax:916-983-6054
Practice Address - Street 1:610A E BIDWELL ST
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3121
Practice Address - Country:US
Practice Address - Phone:916-983-2942
Practice Address - Fax:916-983-6054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA2179332S00000X
CAHA2469332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment