Organization
SOVEREIGN CARE SERVICES
Active
Parent organization
SOVEREIGN CARE SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOVEREIGN CARE SERVICES
Authorized official
THELMA WILSON (PRESIDENT)
(609) 450-3504
Entity
Organization
Contact information
Practice address
1346 HOW LN # 104, NORTH BRUNSWICK, NJ 08902-1725
(609) 450-3504
Mailing address
2500 BRUNSWICK PIKE STE 200, LAWRENCE TOWNSHIP, NJ 08648-4134
(609) 450-3504
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0560120
—
NJ
Enumeration date
05/10/2019
Last updated
11/27/2023
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