Organization
COVENANT CARE OHIO, INC.
Active
Other names
Villa Springfield
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
701 VILLA RD, SPRINGFIELD, OH 45503-1330
(937) 399-5551
(937) 399-0737
Mailing address
701 VILLA RD, SPRINGFIELD, OH 45503-1330
(937) 399-5551
(937) 399-0737
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1842N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2056322
—
OH
Enumeration date
03/06/2007
Last updated
10/28/2008
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