Covenant Care Services, Llc

NPI 1114276029 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1114276029
Enumeration Date 09/06/2012
Last Updated 09/10/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name WARREN KEITH WARREN
Position OWNER
Phone (573) 783-6256
Fax (573) 783-8148
Practice Location
407 E 4TH ST
SALEM MO, 65560-1547, US
Phone (573) 783-6256
Fax (573) 783-8148
Business Location
PO BOX 110
FREDERICKTOWN MO, 63645-0110, US
Phone (573) 783-6256
Fax (573) 783-8148
Toxanomy
Taxonomy Code 311ZA0620X
License State Missouri
License Number 1008
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According to our database, Covenant Care Services, Llc NPI is 1114276029, taxonomy code is 311ZA0620X and license number is 1008, license state is located at Missouri. Covenant Care Services, Llc physically located at 407 E 4th St, Salem MO, 65560-1547. NPI Number 1033115704 has the healthcare provider type.

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1114276029 NPI number is provided on an as is basis without warranty of any kind. 1114276029 is maintained by the National Plan & Provider Enumeration System. The contents of Covenant Care Services, Llc are for informational purposes only.