Organization · Type 2 NPI

Sovereign Healthcare of Bonifay, LLC

Skilled Nursing Facility · Bonifay, FL

NPI number 1477540037 Active

Practice location

306 W Brock Ave
Bonifay, FL 32425-2904

Fax (850) 547-2575

Mailing address

5887 Glenridge Dr, Suite 150
Atlanta, GA 30328-5574

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XSNF10570961 (FL)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

Another provider at this address

About NPI 1477540037

Sovereign Healthcare of Bonifay, LLC's National Provider Identifier is 1477540037, issued on Sep 29, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Bonifay, FL. The record was last updated on Sep 24, 2014.