Organization
MIDLAND REHABILITATION AND HEALTHCARE CENTER, LLC
Active
Parent organization
COVENANT DOVE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COVENANT DOVE, LLC
Authorized official
CRAIG E ROBINSON (PRESIDENT)
(901) 937-7994
Entity
Organization
Contact information
Practice address
46 N MIDLAND BLVD, NAMPA, ID 83651-2145
(208) 466-7803
(208) 466-7898
Mailing address
46 N MIDLAND BLVD, NAMPA, ID 83651-2145
(208) 466-7803
(208) 466-7898
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902048366-000
—
ID
Enumeration date
04/01/2009
Last updated
06/28/2016
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