Organization · Type 2 NPI
Sovereign Healthcare of Port Orange, LLC
Skilled Nursing Facility · Port Orange, FL
Practice location
5600 Victoria Gardens Blvd
Port Orange, FL 32127-7914
Fax (386) 760-8949
Mailing address
5887 Glenridge Dr, Suite 150
Atlanta, GA 30328-5574
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | SNF130471000 (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 1710974423
Sovereign Healthcare of Port Orange, LLC's National Provider Identifier is 1710974423, issued on Sep 29, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Port Orange, FL. The record was last updated on Sep 24, 2014.