Organization
COVENANT CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL CARTNEY (EXECUTIVE DIRECTOR)
(650) 327-0511
Entity
Organization
Contact information
Practice address
911 BRYANT ST, PALO ALTO, CA 94301-2711
(650) 327-0511
(650) 327-7823
Mailing address
911 BRYANT ST, PALO ALTO, CA 94301-2711
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05646J
—
CA
Enumeration date
11/01/2005
Last updated
08/22/2020
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