Healthcare Provider Details

I. General information

NPI: 1770538670
Provider Name (Legal Business Name): SOTTO INTERNATIONAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 05/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 NORTH STATE LINE SUITE 301
TEXARKANA AR
71854-4650
US

IV. Provider business mailing address

1214 E 33RD ST
TULSA OK
74105-2018
US

V. Phone/Fax

Practice location:
  • Phone: 870-773-2621
  • Fax: 918-712-9880
Mailing address:
  • Phone: 918-894-3487
  • Fax: 918-712-9880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberAR4290
License Number StateAR

VIII. Authorized Official

Name: ROGER A. BRUHN
Title or Position: TREASURER
Credential:
Phone: 918-894-3487