# COVENANT CARE HOME HEALTH AGENCY LLC

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

## Provider details

- **NPI number:** 1841808201
- **Authorized official:** CHRISTINE BACCI (ADMINISTRATOR)
- **Authorized official phone:** (316) 371-6563

## Contact information

- **Practice address:** 1005 S GLENDALE ST, WICHITA, KS 67218-3203
- **Practice address phone:** (316) 771-7315
- **Practice address fax:** (316) 771-7319
- **Mailing address:** 1005 S GLENDALE ST, WICHITA, KS 67218-3203
- **Mailing address phone:** (316) 771-7315
- **Mailing address fax:** (316) 771-7319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/21/2020
- **Last updated:** 07/21/2020