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Organization

SOVEREIGN HEALTHCARE,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DIANNA RENEE TURNER (ADMINISTRATOR)
(252) 946-7185
Entity
Organization

Contact information

Practice address
114 HODGES AVE, WASHINGTON, NC 27889-3855
(252) 946-4334
(252) 946-9334
Mailing address
114 HODGES AVE, WASHINGTON, NC 27889
(252) 946-4334
(252) 946-9334

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
HAL007015
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7805165
NC
Enumeration date
08/31/2007
Last updated
08/31/2007
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