Provider Demographics
NPI:1477530293
Name:SOJOURN CARE, INC.
Entity Type:Organization
Organization Name:SOJOURN CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:DOBROTT
Authorized Official - Last Name:BERRYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:480-905-1346
Mailing Address - Street 1:7975 N. HAYDEN RD
Mailing Address - Street 2:SUITE A 208
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-3234
Mailing Address - Country:US
Mailing Address - Phone:480-905-1346
Mailing Address - Fax:480-905-1352
Practice Address - Street 1:9910 EAST 42ND ST S
Practice Address - Street 2:SUITE 101
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-3619
Practice Address - Country:US
Practice Address - Phone:918-492-8799
Practice Address - Fax:918-877-2731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK371607Medicare ID - Type Unspecified