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Covenant Care California, Llc
Assisted Living Facility in Stockton, California
NPI 1639205925

Covenant Care California, Llc is an Assisted Living Facility based in Aliso Viejo, CA. Covenant Care California, Llc practices in Stockton, CA. The NPI Number for Covenant Care California, Llc is 1639205925 and holds a License No. 397000308 (California).

The current practice location address for Covenant Care California, Llc is 2435 Wagner Heights Rd, Stockton, CA and can be reached out via phone at 209-477-5353 and via fax at 209-477-9959.

Location: 2435 Wagner Heights Rd, Stockton, CA, 92656-2677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639205925
Provider Name
Covenant Care California, Llc
Credential
Provider Entity Type
Organization
Address
2435 Wagner Heights Rd, Stockton, CA, 92656-2677
Phone Number
209-477-5353
Fax Number
209-477-9959
Provider Enumeration Date
02/23/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RCF00025F 05 CA
institution
Provider Business Practice Location Address Details
Address
2435 Wagner Heights Rd
City
Stockton
State
California
Zip
95209-1778
Phone Number
209-477-5353
Fax Number
209-477-9959
person
Provider Business Mailing Address Details
Address
2435 Wagner Heights Rd
City
Stockton
State
California
Zip
95209-1778
Phone Number
209-477-5353
Fax Number
209-477-9959
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
397000308 (California)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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