Organization
COVENANT HEALTHCARE SYSTEM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOLAKE ALOBA CRNP (DIRECTOR/OWNER)
(301) 363-0707
Entity
Organization
Contact information
Practice address
3415 HAMILTON ST STE 6, HYATTSVILLE, MD 20782-3953
(301) 363-0707
(240) 714-4733
Mailing address
3415 HAMILTON ST STE 6, HYATTSVILLE, MD 20782-3953
(301) 363-0707
(240) 714-4733
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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