Covenant Cove Care LLC

NPI #1104690197 in Grenada, Mississippi

Provider Information

NPI Number: 1104690197
Entity Type: Organization
Organization Name: Covenant Cove Care LLC
Primary Specialty: Driver
Enumeration Date: Nov 9, 2023
Last Updated: Mar 7, 2024

Practice Location

Address: 101 KIRK AVE APT C7
City: Grenada
State: Mississippi
ZIP Code: 38901-2880
Phone: (662) 647-7546

Authorized Official

Name: GEORGEANNA STOKES
Title: OWNER
Phone: (662) 647-7546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X
Driver	172A00000X	Primary

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