Organization
SHARE OUR SELVES CORPORATION
Active
Organization
SHARE OUR SELVES CORPORATION
Active
Other names
SOS Mobile Health Unit
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY WARD (CHIEF EXECUTIVE OFFICER)
(949) 536-3927
Entity
Organization
Contact information
Practice address
1550 SUPERIOR AVE, COSTA MESA, CA 92627-3653
(949) 270-2100
Mailing address
PO BOX 10159, COSTA MESA, CA 92627-0050
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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