Organization
COVENANT CARE COURTYARD, LLC
Active
Other names
Courtyard Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
1850 E 8TH ST, DAVIS, CA 95616-2502
(530) 756-1800
(530) 756-1859
Mailing address
1850 E 8TH ST, DAVIS, CA 95616-2502
(530) 756-1800
(530) 756-1859
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05992I
—
CA
Enumeration date
07/01/2009
Last updated
11/01/2013
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