1396811550 COVENANT CARE OF JACKSONVILLE LLC
Nursing Facility/Intermediate Care Facility
Active
Basic Information
- Organization Name
- COVENANT CARE OF JACKSONVILLE LLC
- Enumeration Date
- November 28, 2006
- Last Update
- July 19, 2007
- Authorized Official
- GARY L POTTS
MANAGER
Phone: (423) 870-3153
Practice Location
- Address
- 1500 WEST WALNUT STREET
JACKSONVILLE, IL 626501134 - Phone
- (217) 245-4183
- Fax
- (217) 243-2915
Mailing Address
- Address
- 1200 MOUNTAIN CREEK ROAD
SUITE 350
CHATTANOOGA, TN 374056103 - Phone
- (423) 870-3153
- Fax
- (423) 870-3196
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Skilled Nursing Facility | 0047852 | IL | No |
| Nursing Facility/Intermediate Care Facility | 313M00000X | Nursing Facility/Intermediate Care Facility | 1764855 | IL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0036301 | 05 | IL | N/A |
Frequently Asked Questions
What is COVENANT CARE OF JACKSONVILLE LLC's NPI number?
COVENANT CARE OF JACKSONVILLE LLC's NPI number is 1396811550.
Which doctor has NPI number 1396811550?
The doctor with NPI number 1396811550 is COVENANT CARE OF JACKSONVILLE LLC.
What is COVENANT CARE OF JACKSONVILLE LLC's practice address?
COVENANT CARE OF JACKSONVILLE LLC's practice address is 1500 WEST WALNUT STREET, JACKSONVILLE, IL, 626501134.
Which doctor practices at 1500 WEST WALNUT STREET, JACKSONVILLE, IL, 626501134?
COVENANT CARE OF JACKSONVILLE LLC practices at 1500 WEST WALNUT STREET, JACKSONVILLE, IL, 626501134.
What is COVENANT CARE OF JACKSONVILLE LLC's mailing address?
COVENANT CARE OF JACKSONVILLE LLC's mailing address is 1200 MOUNTAIN CREEK ROAD, SUITE 350, CHATTANOOGA, TN, 374056103.
What is COVENANT CARE OF JACKSONVILLE LLC's phone number?
COVENANT CARE OF JACKSONVILLE LLC's phone number is (217) 245-4183.
Who is (217) 245-4183?
(217) 245-4183 is the phone number for COVENANT CARE OF JACKSONVILLE LLC.
What is COVENANT CARE OF JACKSONVILLE LLC's specialty?
COVENANT CARE OF JACKSONVILLE LLC's specialty is Nursing Facility/Intermediate Care Facility.
What type of doctor is COVENANT CARE OF JACKSONVILLE LLC?
COVENANT CARE OF JACKSONVILLE LLC is a Nursing Facility/Intermediate Care Facility.
Is COVENANT CARE OF JACKSONVILLE LLC a Nursing Facility/Intermediate Care Facility?
Yes, COVENANT CARE OF JACKSONVILLE LLC is a Nursing Facility/Intermediate Care Facility.
Is COVENANT CARE OF JACKSONVILLE LLC still practicing?
Yes, COVENANT CARE OF JACKSONVILLE LLC is currently practicing.
Is COVENANT CARE OF JACKSONVILLE LLC accepting new patients?
COVENANT CARE OF JACKSONVILLE LLC may be accepting new patients. Please call their office at (217) 245-4183 to inquire about availability.
Is NPI 1396811550 still active?
Yes, NPI 1396811550 is currently active.
Where does COVENANT CARE OF JACKSONVILLE LLC practice?
COVENANT CARE OF JACKSONVILLE LLC practices in JACKSONVILLE, IL.