Organization
COVENANT CARE CENTER OF QUANAH, LLC
Active
Other names
Quanah Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD SANBORN (OWNER)
(832) 717-5519
Entity
Organization
Contact information
Practice address
1106 W 14TH ST, QUANAH, TX 79252-6300
(940) 663-2869
(940) 663-6429
Mailing address
1106 W 14TH ST, QUANAH, TX 79252-6300
(940) 663-2869
(940) 663-6429
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
118688
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013333
—
TX
Enumeration date
11/01/2006
Last updated
07/01/2008
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