- Enrollment id
- O20030903000021
- Associate id
- 4880505122
- Organization name
- SOVEREIGN HEALTHCARE OF TUSKAWILLA, LLC
- Associate id - owner
- 2466363478
- Type - owner
- O
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2009-05-19
- Organization name - owner
- SOUTHERN HEALTHCARE MANAGEMENT LLC
- Address line 1 - owner
- 101 SUNNYTOWN ROAD
- Address line 2 - owner
- SUITE 201
- City - owner
- CASSELBERRY
- State - owner
- FL
- Zip code - owner
- 327073862
- Corporation - owner
- N
- Llc - owner
- Y
- Medical provider supplier - owner
- N
- Management services company - owner
- Y
- Medical staffing company - owner
- N
- Holding company - owner
- N
- Investment firm - owner
- N
- Financial institution - owner
- N
- Consulting firm - owner
- N
- For profit - owner
- Y
- Non profit - owner
- N
- Private equity company - owner
- N
- Reit - owner
- N
- Chain home office - owner
- N
- Trust or trustee - owner
- N
- Other type - owner
- N