Organization
CARROLLWOOD REHABILITATION CENTER LLC
Active
Parent organization
SOVEREIGN HEALTHCARE HOLDINGS, LLC
Other names
Northdale Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOVEREIGN HEALTHCARE HOLDINGS, LLC
Authorized official
MR. DON MELTON (CFO)
(407) 830-5309
Entity
Organization
Contact information
Practice address
3030 W BEARSS AVE, TAMPA, FL 33618-1811
(813) 698-8777
Mailing address
101 SUNNYTOWN RD STE 201, CASSELBERRY, FL 32707-3862
(407) 830-5309
(407) 830-7775
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
07/29/2019
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