Organization
TREYBURN REHABILITATION CENTER, LLC
Active
Parent organization
SOVEREIGN HEALTHCARE HOLDINGS, LLC
Other names
Treyburn Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOVEREIGN HEALTHCARE HOLDINGS, LLC
Authorized official
MR. R. MARK CRONQUIST (MANAGER)
(404) 574-2100
Entity
Organization
Contact information
Practice address
2059 TORREDGE RD, DURHAM, NC 27712-1767
(919) 477-4474
(919) 471-0967
Mailing address
5887 GLENRIDGE DR, SUITE 150, ATLANTA, GA 30328-5574
(404) 574-2100
(404) 574-2105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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