Organization
COVENANT HEALTH CARE CENTER, INC
Active
Other names
Michaelsen Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A MALZAHN (VICE PRESIDENT OF HEALTH SERVICES)
(773) 878-4430
Entity
Organization
Contact information
Practice address
700 WEST FABYAN PARKWAY, BATAVIA, IL 60510-1247
(630) 879-4000
(630) 879-1153
Mailing address
700 WEST FABYAN PARKWAY, BATAVIA, IL 60510-1247
(630) 879-4000
(630) 879-1153
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0025577
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0598610002
DMERC
IL
Enumeration date
11/13/2006
Last updated
05/31/2019
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