Organization
NEW COVENANT CARE OF CALIFORNIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE (LARRY) KREH (CHIEF OF OPERATIONS)
(925) 937-7400
Entity
Organization
Contact information
Practice address
130 TAMPICO, WALNUT CREEK, CA 94598-2948
(925) 933-7970
(925) 256-1676
Mailing address
130 TAMPICO, WALNUT CREEK, CA 94598-2948
(925) 933-7970
(925) 256-1676
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
140000138
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06213H
—
CA
Enumeration date
11/22/2006
Last updated
04/29/2008
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