Organization · Type 2 NPI
Covenant Cove Care LLC
Driver · Grenada, MS
NPI number
1104690197
Active
Practice location
101 Kirk Ave Apt C7
Grenada, MS 38901-2880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
| Assisted Living Facility | 310400000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
About NPI 1104690197
Covenant Cove Care LLC's National Provider Identifier is 1104690197, issued on Nov 9, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Grenada, MS. The record was last updated on Mar 7, 2024.