# SOS PREMIERE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750707840
- **Authorized official:** ALBA S LOGOSSOU (ADMINISTRATOR)
- **Authorized official phone:** (240) 838-9574

## Contact information

- **Practice address:** 5900 SELLNER LN, CLINTON, MD 20735-2214
- **Practice address phone:** (240) 838-9574
- **Practice address fax:** (301) 327-6302
- **Mailing address:** 5900 SELLNER LN, CLINTON, MD 20735-2214
- **Mailing address phone:** (240) 838-9574
- **Mailing address fax:** (301) 327-6302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2014
- **Last updated:** 03/12/2014