Sovereign Healthcare of Buchanan, LLC

NPI #1609070853 in Buchanan, Georgia

Provider Information

NPI Number
1609070853
Entity Type
Organization
Organization Name
Sovereign Healthcare of Buchanan, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 12, 2007
Last Updated
Sep 24, 2014

Practice Location

Address
144 DEPOT ST
State
Georgia
ZIP Code
30113-5216
Phone
(770) 646-5512

Authorized Official

Name
MR. R. MARK CRONQUIST
Title
MANAGER
Phone
(404) 574-2100

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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