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Organization
SOVEREIGNTY SUPPORT SERVICES LLC
Active
Organization
SOVEREIGNTY SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LENNOX ALPHANSO MARS JR. MPA (EXECUTIVE DIRECTOR)
(862) 233-3596
Entity
Organization
Contact information
Practice address
70 W GRAND ST, ELIZABETH, NJ 07202-1988
(862) 233-3596
(888) 767-9772
Mailing address
70 W GRAND ST, ELIZABETH, NJ 07202-1988
(862) 233-3596
(888) 767-9772
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700319845
—
NJ
Enumeration date
04/05/2017
Last updated
02/21/2020
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