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Organization
COVENANT LIVING WEST
Active
Organization
COVENANT LIVING WEST
Active
Other names
Brandel Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH A MALZAHN (NATIONAL DIRECTOR OF HEALTHCARE)
(773) 878-4430
Entity
Organization
Contact information
Practice address
1801 N OLIVE AVE, TURLOCK, CA 95382-2568
(209) 667-5600
Mailing address
5700 OLD ORCHARD RD, STE 100, SKOKIE, IL 60077-1036
(773) 878-4430
(773) 878-2289
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Enumeration date
05/01/2013
Last updated
07/30/2019
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