Covenant Care Center of Big Spring LLC Mountainview Lodge

NPI #1457408387 in Big Spring, Texas

Provider Information

NPI Number
1457408387
Entity Type
Organization
Organization Name
Covenant Care Center of Big Spring LLC Mountainview Lodge
Subpart
Yes (part of a larger organization)
Parent Organization
COVENANT CARE CENTER OF BIG SPRING LLC MOUNTAINVIEW LODGE
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 4, 2007
Last Updated
Dec 21, 2007

Practice Location

Address
2009 VIRGINIA AVE
State
Texas
ZIP Code
79720-5909
Phone
(432) 263-1271

Authorized Official

Name
RONALD SANBORN
Title
OWNER
Phone
(832) 717-5519

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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