Organization
SOTO ASSISTED LIVING GROUP, INC.
Active
Other names
Soto ALG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAN JOHN SOTO (PRESIDENT/CEO)
(706) 426-4200
Entity
Organization
Contact information
Practice address
3736 EXECUTIVE CENTER DR, AUGUSTA, GA 30907-2360
(706) 426-4200
(706) 426-4201
Mailing address
3736 EXECUTIVE CENTER DR, SUITE B, AUGUSTA, GA 30907-2360
(706) 426-4200
(706) 426-4201
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231152062A
—
GA
05
—
231152062AA
—
GA
05
—
231152062AB
—
GA
05
—
231152062AD
—
GA
05
—
231152062AE
—
GA
05
—
231152062AF
—
GA
05
—
231152062B
—
GA
05
—
231152062D
—
GA
05
—
231152062E
—
GA
05
—
231152062F
—
GA
05
—
231152062H
—
GA
05
—
231152062I
—
GA
05
—
231152062J
—
GA
05
—
231152062K
—
GA
05
—
231152062L
—
GA
05
—
231152062M
—
GA
05
—
231152062N
—
GA
05
—
231152062O
—
GA
05
—
231152062P
—
GA
05
—
231152062Q
—
GA
05
—
231152062R
—
GA
05
—
231152062S
—
GA
05
—
231152062T
—
GA
05
—
231152062U
—
GA
05
—
231152062V
—
GA
05
—
231152062W
—
GA
05
—
231152062Z
—
GA
Enumeration date
12/29/2008
Last updated
07/31/2017
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