# TREYBURN REHABILITATION CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOVEREIGN HEALTHCARE HOLDINGS, LLC
- **Other names:** Treyburn Rehabilitation Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386187813
- **Legal business name:** SOVEREIGN HEALTHCARE HOLDINGS, LLC
- **Authorized official:** MR. R. MARK CRONQUIST (MANAGER)
- **Authorized official phone:** (404) 574-2100

## Contact information

- **Practice address:** 2059 TORREDGE RD, DURHAM, NC 27712-1767
- **Practice address phone:** (919) 477-4474
- **Practice address fax:** (919) 471-0967
- **Mailing address:** 5887 GLENRIDGE DR, SUITE 150, ATLANTA, GA 30328-5574
- **Mailing address phone:** (404) 574-2100
- **Mailing address fax:** (404) 574-2105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/01/2016
- **Last updated:** 12/01/2016