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NPI Code Detail

MEDICARE: SOREO IN HOME SUPPORT SERVICES LLC

MEDICARE: SOREO IN HOME SUPPORT SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251K00000XPublic Health or Welfare Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326100066
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOREO IN HOME SUPPORT SERVICES LLC
Provider Business Mailing Address
First Line : 1632 N COUNTRY CLUB RD
Second Line :
City : TUCSON
State : AZ
Zip : 85716-3119
Country : US
Telephone Number : 520-881-4477
Fax Number : 866-260-0342
Provider Business Practice Location Address
First Line : 1632 N COUNTRY CLUB RD
Second Line :
City : TUCSON
State : AZ
Zip : 85716-3119
Country : US
Telephone Number : 520-881-4477
Fax Number : 866-260-0342
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MS. WENDY SOKOL
Credential :
Telephone Number : 520-881-4477
Provider Enumeration Date : 12/15/2006
Last Update Date : 08/22/2020

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Directions to “SOREO IN HOME SUPPORT SERVICES LLC ” Practice Location

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