# COVILLES PERSONAL CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194996355
- **Authorized official:** MR. DOMINICK WILLIAM COVILLE II R.N. (ADMINISTRATOR)
- **Authorized official phone:** (724) 583-9227

## Contact information

- **Practice address:** 5 S 2ND ST, MASONTOWN, PA 15461-1538
- **Practice address phone:** (724) 583-0744
- **Practice address fax:** (724) 583-0350
- **Mailing address:** 5 SOUTH 2ND ST., MASONTOWN, PA 15461
- **Mailing address phone:** (724) 583-0744
- **Mailing address fax:** (724) 583-0350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 424710 | PA | Yes |

## Other

- **Enumeration date:** 03/17/2008
- **Last updated:** 03/17/2008