Organization
COVENANT CARE CALIFORNIA, LLC
Active
Other names
St Edna Subacute & 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
1929 NORTH FAIRVIEW STREET, SANTA ANA, CA 92706-2205
(714) 554-9700
(714) 554-0483
Mailing address
1929 NORTH FAIRVIEW STREET, SANTA ANA, CA 92706-2205
(714) 554-9700
(714) 554-0483
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060000105
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55093G
—
CA
Enumeration date
10/12/2005
Last updated
10/22/2008
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