Organization
SOVEREIGN HEALTHCARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNA RENEE TURNER (ADMINISTRATOR)
(252) 946-7185
Entity
Organization
Contact information
Practice address
114 HODGES AVE, WASHINGTON, NC 27889-3855
(252) 946-4334
(252) 946-9334
Mailing address
114 HODGES AVE, WASHINGTON, NC 27889-3855
(252) 946-4334
(252) 946-9334
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
HAL-007-013
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805166
—
NC
Enumeration date
08/17/2007
Last updated
08/17/2007
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