# COVENANT CARE CENTERS, LLC DBA ARCHER CITY NURSING CENTER

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

## Provider details

- **NPI number:** 1659357416
- **Authorized official:** MS. MUOI TRAN BS (ADMINISTRATOR)
- **Authorized official phone:** (940) 574-4551

## Contact information

- **Practice address:** 201 E CHESTNUT, ARCHER CITY, TX 76351
- **Practice address phone:** (940) 574-4551
- **Practice address fax:** (940) 574-2366
- **Mailing address:** PO BOX 786, ARCHER CITY, TX 76351-0786
- **Mailing address phone:** (940) 574-4551
- **Mailing address fax:** (940) 574-2366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 171259 | TX | Yes |

## Other

- **Enumeration date:** 12/22/2005
- **Last updated:** 08/22/2020