| NPI | 1417437005 |
|---|---|
| Doing Business As | COVENANT MEMORY CARE CENTER AND THE RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | ODIN BERG Chief Financial Officer 850-433-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL13110) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |