Sovereign Healthcare Of Boynton Beach, LLC
Skilled Nursing Facility in Boynton Beach, FL. Organization (NPI-2).
NPI number1396732012
StatusActive
Last updated in NPPESSep 24, 2014
Details
- NPI
- 1396732012
- Entity type
- Organization (NPI-2)
- Legal business name
- Sovereign Healthcare Of Boynton Beach, LLC
- Organization subpart
- No
- Enumeration date
- Sep 29, 2005
- Last updated
- Sep 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | SNF14590961 | FL | Yes |
Other names
- Boynton Beach Rehabilitation Center (Doing Business As)
Practice location
9600 Lawrence RdBoynton Beach, FL 33436-3300
Phone 561-740-4100 · Fax 561-740-4200
Mailing address
5887 Glenridge DrSuite 150
Atlanta, GA 30328-5574
Phone 404-574-2100 · Fax 404-574-2105
Authorized official
R. Mark Cronquist
Manager
4045742100
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