Organization
SOVEREIGNTY COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRICK JONES (OWNER/ DIRECTOR)
(919) 261-9083
Entity
Organization
Contact information
Practice address
7288 HANOVER GREEN DR, MECHANICSVILLE, VA 23111-1706
(919) 264-7517
Mailing address
604 CALAVARAS LN, KNIGHTDALE, NC 27545-7350
(919) 261-9083
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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