Provider Demographics
NPI:1629371398
Name:SOTERIA HOME HEALTH AGENCY, INC.
Entity Type:Organization
Organization Name:SOTERIA HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:NWOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-672-6200
Mailing Address - Street 1:959 N LA BREA AVE
Mailing Address - Street 2:CA
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302-2207
Mailing Address - Country:US
Mailing Address - Phone:310-672-6200
Mailing Address - Fax:310-677-1199
Practice Address - Street 1:959 N LA BREA AVE
Practice Address - Street 2:CA
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302-2207
Practice Address - Country:US
Practice Address - Phone:310-672-6200
Practice Address - Fax:310-677-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-17
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health