Organization
COVENANT CARE CARSON, LLC
Active
Other names
Carson Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
2898 US HIGHWAY 50 E, CARSON CITY, NV 89701-2811
(775) 882-3301
(775) 883-9468
Mailing address
2898 US HIGHWAY 50 E, CARSON CITY, NV 89701-2811
(775) 882-3301
(775) 883-9468
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1175SNF-14
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18/19-13842
—
NV
Enumeration date
11/24/2008
Last updated
11/24/2008
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