Organization
COVENANT CARE CALIFORNIA, LLC
Active
Other names
Turlock Residential
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
1101 E TUOLUMNE RD, TURLOCK, CA 95382-1541
(209) 667-8409
Mailing address
120 VANTIS DR STE 200, ALISO VIEJO, CA 92656-2677
(949) 349-1222
(949) 349-1122
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
507000306
DEPARTMENT OF SOCIAL SERVICES
CA
Enumeration date
03/16/2022
Last updated
03/16/2022
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