Organization
SOVEREIGN HEALTHCARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNA RENEE TURNER (ADMINISTRATOR)
(252) 946-4334
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
310400000X
Assisted Living Facility
Primary
FCL025022
NC
310400000X
Assisted Living Facility
HAL 008-033
NC
310400000X
Assisted Living Facility
HAL007007
NC
310400000X
Assisted Living Facility
HAL007014
NC
310400000X
Assisted Living Facility
HAL007015
NC
310400000X
Assisted Living Facility
HAL008017
NC
310400000X
Assisted Living Facility
HAL025023
NC
310400000X
Assisted Living Facility
HAL072008
NC
310400000X
Assisted Living Facility
HAL074026
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805163
—
NC
05
—
7805164
—
NC
05
—
7805165
—
NC
05
—
7805167
—
NC
05
—
7805577
—
NC
Enumeration date
03/20/2007
Last updated
10/15/2012
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