Provider Demographics
NPI:1548802044
Name:SOZO PERSONAL HOME CARE
Entity Type:Organization
Organization Name:SOZO PERSONAL HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEADA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-322-4553
Mailing Address - Street 1:8527 MORNING GRV
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-3429
Mailing Address - Country:US
Mailing Address - Phone:210-322-4553
Mailing Address - Fax:210-998-2244
Practice Address - Street 1:8527 MORNING GRV
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-3429
Practice Address - Country:US
Practice Address - Phone:210-322-4553
Practice Address - Fax:210-998-2244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty