| NPI | 1902263122 |
|---|---|
| Doing Business As | SOVEREIGN |
| Entity Type | Organization |
| Authorized Contact | TERESA DICKERSON Founder 205-856-6760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |