Organization · Type 2 NPI

Sovereign Healthcare of Jacksonville, LLC

Skilled Nursing Facility · Jacksonville, FL

NPI number 1891782462 Active

Practice location

4134 Dunn Ave
Jacksonville, FL 32218-4410

Fax (904) 766-9166

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XSNF13500963 (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…

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About NPI 1891782462

Sovereign Healthcare of Jacksonville, LLC's National Provider Identifier is 1891782462, issued on Sep 29, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 24, 2014.