Provider Demographics
NPI:1295552578
Name:SOSEDOV, LLC
Entity type:Organization
Organization Name:SOSEDOV, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SERGHEI
Authorized Official - Middle Name:
Authorized Official - Last Name:SOSEDOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-679-4271
Mailing Address - Street 1:6 LARKSPUR RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19056-2719
Mailing Address - Country:US
Mailing Address - Phone:267-679-4271
Mailing Address - Fax:215-839-8090
Practice Address - Street 1:3070 BRISTOL PIKE STE 2-108
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-5357
Practice Address - Country:US
Practice Address - Phone:215-720-1176
Practice Address - Fax:215-839-8090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care