SOVEREIGN HEALTHCARE OF TAMPA, LLC
Nursing at Gandy Blvd, Tampa, FL

License number
Florida SNF10410962
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: MR. R. MARK CRONQUIST
Title: MANAGER
Phone: (404) 574-2100
Address
Address 2
3117 W Gandy Blvd, Tampa, FL 33611
5887 Glenridge Dr SUITE 150, Atlanta, GA 30328
National Provider ID: 1932196508
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SOVEREIGN HEALTHCARE OF TAMPA, LLC at bizstanding.com

Sovereign Healthcare of Tampa, LLC

Tampa, FL  -  Atlanta, GA

Status:
Inactive
Industry:
Skilled Nursing Care Facility
Registration:
Jul 15, 2003
Addresses:
3117 W Gandy Blvd, Tampa, FL 33611
5887 Glenridge Dr NE, Atlanta, GA 30328
State ID:
M03000002331
Business type:
Foreign Limited Liability
Physical Therapy Directors:
Dawn Bendure (Data Processing Staff),Anne Walker (Director Of Social),John Notermann (Manager),...
Agent:
National Corporate Research, Ltd., Inc

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