Provider Demographics
NPI:1780850487
Name:SOSIAB CARE, INC.
Entity type:Organization
Organization Name:SOSIAB CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SONGLUE
Authorized Official - Middle Name:
Authorized Official - Last Name:VUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-244-1160
Mailing Address - Street 1:621 N SHERMAN AVENUE
Mailing Address - Street 2:SUITE B15
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-4445
Mailing Address - Country:US
Mailing Address - Phone:608-244-1160
Mailing Address - Fax:608-244-1170
Practice Address - Street 1:621 N SHERMAN AVE
Practice Address - Street 2:SUITE B15
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-4453
Practice Address - Country:US
Practice Address - Phone:608-244-1160
Practice Address - Fax:608-244-1170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1040251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43113200Medicaid