COVENANT CARE CALIFORNIA, LLC

MODESTO, CA
NPI1437291929
Doing Business AsVINTAGE FAIRE NURSING & REHABILITATION CENTER
Entity TypeOrganization
Authorized ContactCAROL SPARKS
Director Of Reimbursement
949-349-1200
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: CA  100000366)
Enumeration Date2007-02-13
Last Update Date2014-02-03
Business Address
COVENANT CARE CALIFORNIA, LLC
3620 DALE RD SUITE B
MODESTO, CA 95356-0598
Phone number: 209-521-2094
Mailing Address
COVENANT CARE CALIFORNIA, LLC
3620 DALE RD SUITE B
MODESTO, CA 95356-0598
Phone number: 209-521-2094