SOVEREIGN HEALTHCARE OF BONIFAY, LLC

BONIFAY, FL
NPI1477540037
Doing Business AsBONIFAY NURSING & REHAB CENTER
Entity TypeOrganization
Authorized ContactR. MARK CRONQUIST
Manager
404-574-2100
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: FL  SNF10570961)
Enumeration Date2005-09-29
Last Update Date2014-09-24
Business Address
SOVEREIGN HEALTHCARE OF BONIFAY, LLC
306 W BROCK AVE
BONIFAY, FL 32425-2904
Phone number: 850-547-9289
Mailing Address
SOVEREIGN HEALTHCARE OF BONIFAY, LLC
5887 GLENRIDGE DR SUITE 150
ATLANTA, GA 30328-5574
Phone number: 404-574-2100