Organization
COVENANT CARE CENTER OF PADUCAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD L SANBORN (MANAGING MEMBER)
(832) 717-5519
Entity
Organization
Contact information
Practice address
800 7TH STREET, PADUCAH, TX 79248
(806) 492-3516
(806) 492-2366
Mailing address
16203 CHASEMORE DR, SPRING, TX 77379-6603
(832) 717-5519
(832) 717-5519
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4459
TX
Other
Enumeration date
02/07/2007
Last updated
10/30/2007
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