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 |