| NPI | 1548878267 |
|---|---|
| Other Name | COVENANT MEDICAL CENTER - LIFESTYLE CENTRE IRC |
| Entity Type | Organization |
| Authorized Contact | DAWN BOEDEFELD Mgr Regulatory & Enrollment Gov Prg 907-212-6354 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |