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Organization

COVENANT CARE CALIFORNIA, LLC

Active
Other names
Valle Vista Convalescent Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization

Contact information

Practice address
1025 WEST 2ND AVENUE, ESCONDIDO, CA 92025-3839
(760) 745-1842
(760) 745-4346
Mailing address
1025 WEST 2ND AVENUE, ESCONDIDO, CA 92025-3839
(760) 745-1842
(760) 745-4346

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000102
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZT05500G
CA
Enumeration date
10/07/2005
Last updated
02/03/2014
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