Sozo Recovery Residence

LBN: Sozo Recovery Residence
Sozo Recovery Residence is an health care organization with primary practice located at 2768 N. Genevieve St , San Bernardino CA 92405-3516. The organization recently has 6 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Lodging, Agencies / Home Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Recovery Care, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Sozo Recovery Residence can be contacted via phone (951) 835-1253, or through Marquecho Shaw, Jeanna Nicole via phone (951) 836-1253.

Contact Information

Primary practice address
2768 N. Genevieve St San Bernardino CA 92405-3516
Phone: (951) 835-1253
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marquecho Shaw, Jeanna Nicole
Phone: (951) 836-1253

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Lodging 177F00000X
Agencies / Home Health 251E00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Recovery Care 261QR0800X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1265314157
LBN Legal business name Sozo Recovery Residence
DBA Doing business as
Authorized official Marquecho Shaw, Jeanna Nicole
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2025
Last updated Jul 22nd, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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