Organization · Type 2 NPI

Sovereign Healthcare of Medicana, LLC

Skilled Nursing Facility · Lake Worth, FL

NPI number 1609863307 Active

Practice location

1710 Lake Worth Rd
Lake Worth, FL 33460-3627

Call (561) 582-5331 Map

Fax (561) 582-5354

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	SNF1338096 (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…

2 other providers at this address

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About NPI 1609863307

Sovereign Healthcare of Medicana, LLC's National Provider Identifier is 1609863307, issued on Sep 29, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Lake Worth, FL. The record was last updated on Sep 24, 2014.