Organization
COVENANT HOME SERVICES
Active
Other names
ConvenantCare at Home
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MALZAHN (VICE PRESIDENT OF HEALTH SERVICES)
(773) 878-4430
Entity
Organization
Contact information
Practice address
125 N BROADWAY STE 1B, TURLOCK, CA 95380-4811
(209) 250-5200
(209) 669-6507
Mailing address
5700 OLD ORCHARD RD, SKOKIE, IL 60077-1036
(773) 878-4430
(773) 878-2289
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100000007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA70191F
—
CA
Enumeration date
09/28/2006
Last updated
03/30/2017
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