SOVEREIGN HEALTHCARE OF MEDICANA, LLC

LAKE WORTH, FL
NPI1609863307
Doing Business AsMEDICANA NURSING & REHAB CENTER
Entity TypeOrganization
Authorized ContactR. MARK CRONQUIST
Manager
404-574-2100
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: FL  SNF1338096)
Enumeration Date2005-09-29
Last Update Date2014-09-24
Business Address
SOVEREIGN HEALTHCARE OF MEDICANA, LLC
1710 LAKE WORTH RD
LAKE WORTH, FL 33460-3627
Phone number: 561-582-5331
Mailing Address
SOVEREIGN HEALTHCARE OF MEDICANA, LLC
5887 GLENRIDGE DR SUITE 150
ATLANTA, GA 30328-5574
Phone number: 404-574-2100