# COVENANT CARE CENTER OF QUANAH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Quanah Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780761478
- **Authorized official:** MR. RONALD SANBORN (OWNER)
- **Authorized official phone:** (832) 717-5519

## Contact information

- **Practice address:** 1106 W 14TH ST, QUANAH, TX 79252-6300
- **Practice address phone:** (940) 663-2869
- **Practice address fax:** (940) 663-6429
- **Mailing address:** 1106 W 14TH ST, QUANAH, TX 79252-6300
- **Mailing address phone:** (940) 663-2869
- **Mailing address fax:** (940) 663-6429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 118688 | TX | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 07/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001013333 | — | TX |