Covenant Care Jacksonville, LLC
NPI #1841599081 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1841599081
- Entity Type
- Organization
- Organization Name
- Covenant Care Jacksonville, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 25, 2011
- Last Updated
- Mar 25, 2011
Practice Location
- Address
- 1517 W WALNUT ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-1133
- Phone
- (217) 243-6451
Authorized Official
- Name
- CAROL SPARKS
- Title
- DIRECTOR OF REIMBURSEMENT
- Phone
- (949) 349-1200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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