Provider Demographics
NPI:1770199473
Name:SOSO,INC.
Entity type:Organization
Organization Name:SOSO,INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SOMIARI
Authorized Official - Middle Name:SAHR
Authorized Official - Last Name:UBANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-833-8108
Mailing Address - Street 1:5960 FAIRVIEW RD STE 400
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3119
Mailing Address - Country:US
Mailing Address - Phone:704-833-8108
Mailing Address - Fax:704-833-8107
Practice Address - Street 1:5960 FAIRVIEW RD STE 400
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3119
Practice Address - Country:US
Practice Address - Phone:704-833-8108
Practice Address - Fax:704-833-8107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care