Organization
COVENANT CARE CALIFORNIA, LLC
Active
Other names
Los Altos Sub-acute & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
809 FREMONT AVENUE, LOS ALTOS, CA 94024-5617
(650) 941-5255
(650) 941-2822
Mailing address
809 FREMONT AVENUE, LOS ALTOS, CA 94024-5617
(650) 941-5255
(650) 941-2822
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
220000403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206430721
OSHPD
CA
05
—
ZZR06116H
—
CA
Enumeration date
02/22/2007
Last updated
11/01/2013
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