Organization
COVENANT CARE ENCINITAS, LLC
Active
Other names
Encinitas Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
900 SANTA FE DR, ENCINITAS, CA 92024-3919
(760) 753-6423
(760) 753-4979
Mailing address
900 SANTA FE DR, ENCINITAS, CA 92024-3919
(760) 753-6423
(760) 753-4979
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05761J
—
CA
Enumeration date
11/29/2005
Last updated
11/01/2013
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