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Organization
COVENANT LIVING WEST
Active
Organization
COVENANT LIVING WEST
Active
Other names
Covenant Village of Turlock Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MALZAHN (ASSOCIATE VICE PRESIDENT OF HEALTH)
(773) 878-4430
Entity
Organization
Contact information
Practice address
2125 N OLIVE AVE, TURLOCK, CA 95382-1901
(209) 632-9976
(209) 632-7885
Mailing address
2125 N OLIVE AVE, TURLOCK, CA 95382-1901
(209) 632-9976
(209) 632-7885
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030000694
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55749F
—
CA
Enumeration date
11/09/2006
Last updated
07/30/2019
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