Organization
SOVEREIGN CASE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY PACLEB RN, CCM (CHIEF EXECUTIVE OFFICER)
(817) 760-0407
Entity
Organization
Contact information
Practice address
10121 LOCKSLEY DR, BENBROOK, TX 76126-4010
(817) 760-0407
Mailing address
10121 LOCKSLEY DR, BENBROOK, TX 76126-4010
(817) 760-0407
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
590813
TX
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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