Organization
COVENANT CARE CALIFORNIA, LLC
Active
Other names
Royal Care Skilled Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
2725 PACIFIC AVENUE, LONG BEACH, CA 90806-2612
(562) 427-7493
(562) 424-1833
Mailing address
2725 PACIFIC AVENUE, LONG BEACH, CA 90806-2612
(562) 427-7493
(562) 424-1833
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000145
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206190663
OSHPD
CA
05
—
ZZT05041J
—
CA
Enumeration date
02/13/2007
Last updated
02/03/2014
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