Covenant Care Midwest, INC
NPI #1558358804 in Carlinville, Illinois
Provider Information
- NPI Number
- 1558358804
- Entity Type
- Organization
- Organization Name
- Covenant Care Midwest, INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 3, 2005
- Last Updated
- Oct 24, 2008
Practice Location
- Address
- 826 N HIGH ST
- City
- Carlinville
- State
- Illinois
- ZIP Code
- 62626-1165
- Phone
- (217) 854-9606
Authorized Official
- Name
- CAROL SPARKS
- Title
- DIRECTOR OF REIMBURSEMENT
- Phone
- (949) 349-1200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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