# COVENANT HUMAN SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306101886
- **Authorized official:** MR. ODUWA A AGANMWONYI (MANAGER/MHP)
- **Authorized official phone:** (763) 528-8303

## Contact information

- **Practice address:** 4080 W. BROADWAY AVE, SUITE \#125, ROBBINSDALE, MN 55429
- **Practice address phone:** (763) 528-8303
- **Practice address fax:** (763) 537-8891
- **Mailing address:** 4080 W BROADWAY AVE, SUITE 125, ROBBINSDALE, MN 55422-5604
- **Mailing address phone:** (763) 528-8303
- **Mailing address fax:** (763) 537-8892

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2012
- **Last updated:** 07/10/2012