# COVENANT HOUSING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Parkwood Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518293109
- **Authorized official:** KATHY MILLER (RESIDENT DIRECTOR)
- **Authorized official phone:** (620) 672-5541

## Contact information

- **Practice address:** 401 ROCHESTER ST, PRATT, KS 67124-2990
- **Practice address phone:** (620) 672-5541
- **Practice address fax:** (620) 672-2123
- **Mailing address:** 401 ROCHESTER ST, PRATT, KS 67124-2990
- **Mailing address phone:** (620) 672-5541
- **Mailing address fax:** (620) 672-2123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | NO76003 | KS | Yes |

## Other

- **Enumeration date:** 11/02/2009
- **Last updated:** 11/02/2009