# COVINA CLHF CORPORATION

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

## Provider details

- **NPI number:** 1861018327
- **Authorized official:** JUSTINE MARIE ALICAYA BRAGA RN (CEO)
- **Authorized official phone:** (626) 377-3345

## Contact information

- **Practice address:** 1411 S SANDIA AVE, WEST COVINA, CA 91790-3309
- **Practice address phone:** (626) 977-3345
- **Practice address fax:** (626) 977-3345
- **Mailing address:** 1411 S SANDIA AVE, WEST COVINA, CA 91790-3309
- **Mailing address phone:** (626) 977-3345

## Taxonomy

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

## Other

- **Enumeration date:** 06/22/2020
- **Last updated:** 06/22/2020