Organization
SOVEREIGN HEALTHCARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD B BEDELL (PRESIDENT)
(573) 471-1276
Entity
Organization
Contact information
Practice address
35 VILLA SHOPPING CTR, NEW MADRID, MO 63869
(573) 621-3126
(573) 748-6070
Mailing address
P.O. BOX 1210, 731 N MAIN STREET, SIKESTON, MO 63801-1210
(573) 471-1276
(573) 472-8504
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
10/05/2023
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