Provider Demographics
NPI:1982020301
Name:SOS-SOLUTION ORIENTED SUPPORT, INC.
Entity Type:Organization
Organization Name:SOS-SOLUTION ORIENTED SUPPORT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RONDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SALGE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:260-471-9797
Mailing Address - Street 1:5465 N 650 E
Mailing Address - Street 2:
Mailing Address - City:CHURUBUSCO
Mailing Address - State:IN
Mailing Address - Zip Code:46723-9320
Mailing Address - Country:US
Mailing Address - Phone:260-693-9722
Mailing Address - Fax:
Practice Address - Street 1:1415 DIRECTORS ROW
Practice Address - Street 2:SUITE 1A
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46808-1285
Practice Address - Country:US
Practice Address - Phone:260-471-9797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-10
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006489A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty