Organization
SOZO RECOVERY RESIDENCE
Active
Other names
Sozo House
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNA NICOLE MARQUECHO SHAW (DIRECTOR)
(951) 836-1253
Entity
Organization
Contact information
Practice address
2768 N. GENEVIEVE ST, SAN BERNARDINO, CA 92405-3516
(951) 835-1253
Mailing address
2768 N. GENEVIEVE ST, SAN BERNARDINO, CA 92405
(951) 836-1253
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
177F00000X
Lodging Provider
—
—
251E00000X
Home Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us