# COVENANT WAY

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

## Provider details

- **NPI number:** 1528362753
- **Authorized official:** MR. ROBERT PAUL PRIDMORE NHA, CRCFA (CEO)
- **Authorized official phone:** (864) 379-2570

## Contact information

- **Practice address:** 18 FRANK PRESSLY DRIVE, DUE WEST, SC 29639-0307
- **Practice address phone:** (864) 379-2570
- **Practice address fax:** (864) 379-2570
- **Mailing address:** PO BOX 307, DUE WEST, SC 29639-0307
- **Mailing address phone:** (864) 379-2570
- **Mailing address fax:** (864) 379-2571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCF-0775 | SC | Yes |

## Other

- **Enumeration date:** 01/03/2011
- **Last updated:** 01/03/2011