Organization
COVENANT VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY HOLCOMB RN (DIRECTOR OF NURSING)
(704) 867-2319
Entity
Organization
Contact information
Practice address
1351 ROBINWOOD RD, GASTONIA, NC 28054-1693
(704) 867-2319
(704) 867-4442
Mailing address
1351 ROBINWOOD RD, GASTONIA, NC 28054-1693
(704) 867-2319
(704) 867-4442
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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