Provider Demographics
NPI:1366465569
Name:SOVRAN MANAGEMENT COMPANY LLC
Entity Type:Organization
Organization Name:SOVRAN MANAGEMENT COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:RAWLES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:239-262-8006
Mailing Address - Street 1:3073 HORSESHOE DR S
Mailing Address - Street 2:STE 102
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-6144
Mailing Address - Country:US
Mailing Address - Phone:239-963-3400
Mailing Address - Fax:239-963-3401
Practice Address - Street 1:3073 HORSESHOE DR S
Practice Address - Street 2:STE 102
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-6144
Practice Address - Country:US
Practice Address - Phone:239-963-3400
Practice Address - Fax:239-963-3401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility