Organization
COVENANT CARE MIDWEST, INC
Active
Other names
Friendship Home
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
826 N HIGH ST, CARLINVILLE, IL 62626-1165
(217) 854-9606
(217) 854-8484
Mailing address
826 N HIGH ST, CARLINVILLE, IL 62626-1165
(217) 854-9606
(217) 854-8484
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0042846
IL
Other
Enumeration date
10/03/2005
Last updated
10/24/2008
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