SOVEREIGN HEALTHCARE OF MACCLENNY, LLC

Skilled Nursing Facility

Active Organization
NPI: 1720075351

Practice Address

755 S 5TH ST
Macclenny, FL 32063

Phone: (904) 259-4873

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes SNF1222096 (FL)

Frequently Asked Questions

NPI 1720075351 is the National Provider Identifier for SOVEREIGN HEALTHCARE OF MACCLENNY, LLC, a Skilled Nursing Facility provider located in Macclenny, FL. This NPI was enumerated on September 29, 2005.

Quick Facts

NPI
1720075351
Type
Organization
Enumerated
Sep 29, 2005
Last Updated
Sep 24, 2014

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