Covenant Care Ennoble, LLC
Skilled Nursing Facility in Dubuque, IA. Organization (NPI-2).
NPI number1982925509
StatusActive
Last updated in NPPESJun 17, 2010
Details
- NPI
- 1982925509
- Entity type
- Organization (NPI-2)
- Legal business name
- Covenant Care Ennoble, LLC
- Organization subpart
- No
- Enumeration date
- Jun 17, 2010
- Last updated
- Jun 17, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 310764 | IA | Yes |
Other names
- Ennoble Skilled Nursing And Rehabilitation Center (Doing Business As)
Practice location
2000 Pasadena DrDubuque, IA 52001-0808
Phone 563-577-1076 · Fax 563-584-0671
Mailing address
2000 Pasadena DrDubuque, IA 52001-0808
Phone 563-577-1076 · Fax 563-584-0671
Authorized official
Carol Sparks
Director Of Reimbursement
9493491200
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