| NPI | 1083719751 |
|---|---|
| Doing Business As | COVENANT VILLAGE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MALZAHN Vice President Of Health Services 773-878-4430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF11080961) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-01-27 |