Covenant Care of O'fallon, LLC
NPI #1578678082 in O Fallon, Illinois
Provider Information
- NPI Number
- 1578678082
- Entity Type
- Organization
- Organization Name
- Covenant Care of O'fallon, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 21, 2006
- Last Updated
- Feb 28, 2008
Practice Location
Authorized Official
- Name
- MR. GARY POTTS
- Title
- PRESIDENT
- Phone
- (618) 632-3511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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