Sovereign Healthcare of Bonifay, LLC
NPI #1477540037 in Bonifay, Florida
Provider Information
- NPI Number
- 1477540037
- Entity Type
- Organization
- Organization Name
- Sovereign Healthcare of Bonifay, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 29, 2005
- Last Updated
- Sep 24, 2014
Practice Location
Authorized Official
- Name
- MR. R. MARK CRONQUIST
- Title
- MANAGER
- Phone
- (404) 574-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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