# COVENANT COVE FAMILY CARE HOME, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649392127
- **Authorized official:** MR. ROBERT EDWARD ALFORD (DIRECTOR)
- **Authorized official phone:** (910) 848-1224

## Contact information

- **Practice address:** 1189 GAINEY RD, RAEFORD, NC 28376-6857
- **Practice address phone:** (910) 848-1224
- **Practice address fax:** (910) 848-0129
- **Mailing address:** 1189 GAINEY RD, RAEFORD, NC 28376-6857
- **Mailing address phone:** (910) 848-1224
- **Mailing address fax:** (910) 848-0129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 08/22/2020