Organization
COVENANT LIVING OF FLORIDA, INC.
Active
Other names
Covenant Village Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MALZAHN (VICE PRESIDENT OF HEALTH SERVICES)
(773) 878-4430
Entity
Organization
Contact information
Practice address
9215 W BROWARD BLVD, PLANTATION, FL 33324-2404
(954) 472-2860
(954) 472-5934
Mailing address
9211 W BROWARD BLVD, PLANTATION, FL 33324-2401
(954) 472-2860
(954) 472-5934
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF11080961
FL
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210188
—
FL
Enumeration date
09/14/2006
Last updated
01/27/2020
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