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Contact Information

SOZO LIFE AND WELLNESS CENTER, PLLC
3805 RAMBLEWOOD AVE
DURHAM, NC27713
 Phone: 919-695-3943
 Fax: 919-767-9652
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for SOZO LIFE AND WELLNESS CENTER, PLLC

NPI # 1154592657
LBN Legal business name SOZO LIFE AND WELLNESS CENTER, PLLC
Authorized official WANDA CERES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2008
Last updated 12/20/2011 - About 14 years ago
Identifiers
NC License # 6760
NC Medicaid 6103721
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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