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Organization

COVENANT LIVING OF KEENE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH A MALZAHN (VP OF REIMBURSEMENT)
(773) 878-4430
Entity
Organization

Contact information

Practice address
100 WYMAN RD, KEENE, NH 03431-5029
(603) 283-5150
Mailing address
5700 OLD ORCHARD RD, SKOKIE, IL 60077-1036
(773) 878-4430

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04350
ANNUAL NURSING HOME LICENSE
NH
Enumeration date
03/17/2022
Last updated
08/04/2025
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