Organization
COVENANT CARE ORANGE, INC
Active
Other names
Downey Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
13007 SOUTH PARAMOUNT BLVD, DOWNEY, CA 90242-4329
(562) 923-9301
(562) 923-3503
Mailing address
13007 SOUTH PARAMOUNT BLVD, DOWNEY, CA 90242-4329
(562) 923-9301
(562) 923-3503
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000176
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206190874
OSHPD
CA
05
—
ZZT05519J
—
CA
Enumeration date
02/22/2007
Last updated
09/26/2013
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