# COVENANT CARE CENTER OF BIG SPRING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain View Lodge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407882822
- **Authorized official:** RONALD L SANBORN (MANAGING MEMBER)
- **Authorized official phone:** (832) 717-5519

## Contact information

- **Practice address:** 2009 VIRGINIA AVE, BIG SPRING, TX 79720-5909
- **Practice address phone:** (432) 263-1271
- **Practice address fax:** (432) 263-5338
- **Mailing address:** 16203 CHASEMORE DR, SPRING, TX 77379-6603
- **Mailing address phone:** (832) 717-5519
- **Mailing address fax:** (832) 717-5519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 004921 | TX | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 08/22/2020