Organization
COVENANT CARE OF CALIFORNIA
Active
Other names
Pacific Gardens Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BART J VANDERWAL (EXECUTIVE DIRECTOR)
(559) 251-8463
Entity
Organization
Contact information
Practice address
577 S PEACH AVE, FRESNO, CA 93727-3952
(559) 251-8463
(559) 251-4465
Mailing address
577 S PEACH AVE, FRESNO, CA 93727-3952
(559) 251-8463
(559) 251-4465
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06207J
—
CA
Enumeration date
02/10/2006
Last updated
08/22/2020
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