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NPI Code Detail

MEDICARE: COVENANT WOODS

MEDICARE: COVENANT WOODS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NH2662OTHERVANURSING HOME LICENSE NUMBER

General Provider Information

NPI Number : 1215093737
Entity Type Code : Organization
Provider Name (Legal Business Name) : COVENANT WOODS
Provider Business Mailing Address
First Line : 7090 COVENANT WOODS DR
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23111-7025
Country : US
Telephone Number : 804-569-8000
Fax Number : 804-569-8177
Provider Business Practice Location Address
First Line : 7090 COVENANT WOODS DR
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23111-7025
Country : US
Telephone Number : 804-569-8000
Fax Number : 804-569-8177
Authorized Official
Title or Position : COMPLIANCE OFFICER
Name : MR. ERIK MAURITSEN
Credential :
Telephone Number : 804-569-8173
Provider Enumeration Date : 12/29/2006
Last Update Date : 10/12/2022

Similar Medicare Providers

1881527950 — MS. DANA MARIE PUNTE
Practice Location Address:
7090 COVENANT WOODS DR
MECHANICSVILLE, VA
23111-7025
Practice Phone: 804-569-8000
Practice Fax:
1639298805 — CARL SHERROD PT
Practice Location Address:
7090 COVENANT WOODS DR
MECHANICSVILLE, VA
23111-7025
Practice Phone: 804-569-8697
Practice Fax: 804-569-8686
1679782551 — ALICIA LYNNE ANCARROW PT
Practice Location Address:
7090 COVENANT WOODS DR
MECHANICSVILLE, VA
23111-7025
Practice Phone: 804-569-8697
Practice Fax:
1396949723 — MRS. ELLEN MARIE MORAN P.T.
Practice Location Address:
7090 COVENANT WOODS DR
MECHANICSVILLE, VA
23111-7025
Practice Phone: 804-559-8936
Practice Fax:
1831380625 — MRS. SHAWN DENISE STEELE LPTA
Practice Location Address:
7090 COVENANT WDS DR , REHAB DEPARTMENT
MECHANICSVILLE, VA
23111-7025
Practice Phone: 804-569-8697
Practice Fax: 804-569-8686
1316357353 — MS. SHANNON FLEMING COTA/L
Practice Location Address:
7090 COVENANT WOODS DR
MECHANICSVILLE, VA
23111-7025
Practice Phone: 804-569-8697
Practice Fax:

Directions to “COVENANT WOODS ” Practice Location

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