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Organization

COVENANT CARE OHIO, INC.

Active
Other names
Versailles Health Care Center
Organization subpart
No

Provider details

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

Contact information

Practice address
200 MARKER RD, VERSAILLES, OH 45380-9494
(937) 526-5570
(937) 526-9630
Mailing address
200 MARKER RD, VERSAILLES, OH 45380-9494
(937) 526-5570
(937) 526-9630

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5461
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2056331
OH
Enumeration date
10/05/2005
Last updated
10/28/2008
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