Covenant Independent Living Services, Inc.
NPI #1336223114 in Brainerd, Minnesota
Provider Information
- NPI Number
- 1336223114
- Entity Type
- Organization
- Organization Name
- Covenant Independent Living Services, Inc.
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Jul 21, 2022
Practice Location
Authorized Official
- Name
- SHELLY DAWN JOHNSON
- Title
- DIRECTOR
- Phone
- (218) 824-0615
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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