Organization
COVENANT CARE LODI, LLC
Active
Other names
Arbor Place
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
17 LOUIE AVE, LODI, CA 95240-1283
(209) 369-8282
(209) 369-7638
Mailing address
17 LOUIE AVE, LODI, CA 95240-1283
(209) 369-8282
(209) 369-7638
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
397004353
CA
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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