# COVENANT HOME HEALTH CARE SERVICES, INC

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

## Provider details

- **NPI number:** 1770592123
- **Authorized official:** MRS. PAMELA DIANE MITCHELL (PRESIDENT)
- **Authorized official phone:** (304) 757-9333

## Contact information

- **Practice address:** 109 POPLAR FORK RD, SUITE B, SCOTT DEPOT, WV 25560-9766
- **Practice address phone:** (304) 757-9333
- **Practice address fax:** (304) 757-9336
- **Mailing address:** 109 POPLAR FORK RD, SUITE B, SCOTT DEPOT, WV 25560-9766
- **Mailing address phone:** (304) 757-9333
- **Mailing address fax:** (304) 757-9336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | WV404123 | WV | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 02/06/2012