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Organization
NEW COVENANT CARE OF CALIFORNIA, INC.
Active
Organization
NEW COVENANT CARE OF CALIFORNIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE (LARRY) KREH (CHIEF OF OPERATIONS)
(925) 937-7400
Entity
Organization
Contact information
Practice address
130 TAMPICO, WALNUT CREEK, CA 94598-2948
(925) 933-7970
(925) 256-1676
Mailing address
130 TAMPICO, WALNUT CREEK, CA 94598-2948
(925) 933-7970
(925) 256-1676
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
140000138
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06213H
—
CA
Enumeration date
11/22/2006
Last updated
04/29/2008
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