NPI 1093196594
Sovereign Healthcare Services, INC.
Practice location
- Address
- 6015 Waters Edge Trl, Roswell, GA 30075-8275
- Phone
- (360) 989-6710
Authorised official
- Name
- Lachell M Mensing
- Title
- Ceo/President
- Phone
- (360) 989-6710
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1093196594
- Entity type
- Organization
- NPI issued
- 11 Jun 2015
- Record last updated
- 11 Jun 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.