| NPI | 1235120361 |
|---|---|
| Doing Business As | COVENANT HOUSE |
| Entity Type | Organization |
| Authorized Contact | MARYANN BERNSTEIN Administrator 937-837-2651 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 3228) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2008-06-18 |