# COVENANT CARE CENTER OF BIG SPRING LLC MOUNTAINVIEW LODGE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COVENANT CARE CENTER OF BIG SPRING LLC MOUNTAINVIEW LODGE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457408387
- **Legal business name:** COVENANT CARE CENTER OF BIG SPRING LLC MOUNTAINVIEW LODGE
- **Authorized official:** RONALD SANBORN (OWNER)
- **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:** 2009 VIRGINIA AVE, BIG SPRING, TX 79720-5909
- **Mailing address phone:** (432) 263-1271
- **Mailing address fax:** (432) 263-5338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | TX | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 12/21/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4921 | — | TX |