Organization
COVENANT CARE OHIO, INC.
Active
Other names
Fairview Skilled Nursing and 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
4420 SOUTH AVE, TOLEDO, OH 43615-6417
(419) 531-4201
(419) 531-3607
Mailing address
4420 SOUTH AVE, TOLEDO, OH 43615-6417
(419) 531-4201
(419) 531-3607
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5496
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2056297
—
OH
Enumeration date
03/06/2007
Last updated
10/28/2008
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