Organization
LAKE WORTH REHABILITATION CENTER LLC
Active
Parent organization
SOVEREIGN HEALTHCARE HOLDINGS LLC
Other names
Lake Worth Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOVEREIGN HEALTHCARE HOLDINGS LLC
Authorized official
DONALD MELTON (CHIEF FINANCIAL OFFICER)
(407) 215-8610
Entity
Organization
Contact information
Practice address
1201 12TH AVE S, LAKE WORTH, FL 33460-5409
(561) 586-7404
Mailing address
101 SUNNYTOWN RD STE 201, CASSELBERRY, FL 32707-3862
(407) 215-8610
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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