Organization
COVENANT CARE MIDWEST, INC.
Active
Other names
Cedar Ridge 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
1 PERRYMAN ST, LEBANON, IL 62254-1356
(618) 537-6165
(618) 537-4021
Mailing address
1 PERRYMAN ST, LEBANON, IL 62254-1356
(618) 537-6165
(618) 537-4021
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0042838
IL
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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