Covenant Care Services, LLC
NPI #1871823955 in Fredericktown, Missouri
Provider Information
- NPI Number
- 1871823955
- Entity Type
- Organization
- Organization Name
- Covenant Care Services, LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Jan 12, 2010
- Last Updated
- Jan 12, 2010
Practice Location
- Address
- 1610 W. HWY 72
- City
- Fredericktown
- State
- Missouri
- ZIP Code
- 63645
- Phone
- (573) 783-6256
Authorized Official
- Name
- WARREN KEITH REAGAN
- Title
- MANAGER
- Phone
- (573) 783-6256
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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