Organization · Type 2 NPI
Covenant Care Services, LLC
Adult Care Home Facility · Fredericktown, MO
NPI number
1871823955
Active
Practice location
1610 W. Hwy 72
Fredericktown, MO 63645
Fax (573) 783-8148
Mailing address
PO Box 110
Fredericktown, MO 63645-0110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 864 (MO) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1871823955
Covenant Care Services, LLC's National Provider Identifier is 1871823955, issued on Jan 12, 2010. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Fredericktown, MO. The record was last updated on Jan 12, 2010.