Healthcare Provider Details

I. General information

NPI: 1508083296
Provider Name (Legal Business Name): SOS EXTERMINATING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8680 HIGHWAY 69
PRESCOTT VALLEY AZ
86314
US

IV. Provider business mailing address

PO BOX 26697
PRESCOTT VALLEY AZ
86312-6697
US

V. Phone/Fax

Practice location:
  • Phone: 928-772-7474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: TOM SAVORY
Title or Position: BRANCH MANAGER
Credential:
Phone: 928-772-7474