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Organization

COVENANT CARE CENTER OF BIG SPRING LLC MOUNTAINVIEW LODGE

Active
Parent organization
COVENANT CARE CENTER OF BIG SPRING LLC MOUNTAINVIEW LODGE
Organization subpart
Yes

Provider details

NPI number
Legal business name
COVENANT CARE CENTER OF BIG SPRING LLC MOUNTAINVIEW LODGE
Authorized official
RONALD SANBORN (OWNER)
(832) 717-5519
Entity
Organization

Contact information

Practice address
2009 VIRGINIA AVE, BIG SPRING, TX 79720-5909
(432) 263-1271
(432) 263-5338
Mailing address
2009 VIRGINIA AVE, BIG SPRING, TX 79720-5909
(432) 263-1271
(432) 263-5338

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4921
TX
Enumeration date
01/04/2007
Last updated
12/21/2007
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