Covenant Place of Waxahachie

NPI #1831281609 in Waxahachie, Texas

Provider Information

NPI Number
1831281609
Entity Type
Organization
Organization Name
Covenant Place of Waxahachie
Primary Specialty
Assisted Living Facility
Enumeration Date
Sep 29, 2006
Last Updated
Mar 8, 2012

Practice Location

Address
401 SOLON RD
State
Texas
ZIP Code
75165-1328
Phone
(972) 935-9363

Authorized Official

Name
KEITH JOHANNESSEN
Title
PRESIDENT & COO
Phone
(972) 770-5600

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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