NPI 1215936430

Covenant Healthcare, LLC

Organisation Skilled Nursing Facility Eau Claire, WI

Practice location

Address: 1405 Truax Blvd, Eau Claire, WI 54703-1474
Phone: (175) 552-1030
Fax: (715) 552-1033

Authorised official

Name: James P. Deignan
Title: Executive Director/Ceo
Phone: (715) 552-1030

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 3195 (WI)

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Registry record

NPI: 1215936430
Entity type: Organization
NPI issued: 19 Jul 2005
Record last updated: 18 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.