Covenant Care Midwest, Inc.

NPI #1275663445 in Lebanon, Illinois

Provider Information

NPI Number
1275663445
Entity Type
Organization
Organization Name
Covenant Care Midwest, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Mar 6, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1 PERRYMAN ST
ZIP Code
62254-1356
Phone
(618) 537-6165

Authorized Official

Name
CAROL SPARKS
Title
DIRECTOR OF REIMBURSEMENT
Phone
(949) 349-1200

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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