# COVENANT COMPANION CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Christian Companion Senior Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083976906
- **Authorized official:** MRS. LORI WILLIAMS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (479) 242-2273

## Contact information

- **Practice address:** 5106 S U ST STE B, FORT SMITH, AR 72903-3610
- **Practice address phone:** (479) 242-2273
- **Practice address fax:** (479) 242-0752
- **Mailing address:** 5106 S U ST STE B, FORT SMITH, AR 72903-3610
- **Mailing address phone:** (479) 242-2273
- **Mailing address fax:** (479) 242-0752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2012
- **Last updated:** 06/15/2012