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Organization
COVENANT CARE ORANGE, INC
Active
Organization
COVENANT CARE ORANGE, INC
Active
Other names
Downey Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
13007 SOUTH PARAMOUNT BLVD, DOWNEY, CA 90242-4329
(562) 923-9301
(562) 923-3503
Mailing address
13007 SOUTH PARAMOUNT BLVD, DOWNEY, CA 90242-4329
(562) 923-9301
(562) 923-3503
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000176
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206190874
OSHPD
CA
05
—
ZZT05519J
—
CA
Enumeration date
02/22/2007
Last updated
09/26/2013
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