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Organization

KINGDOM COVENANT CARE, LLC

Active
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Organization

KINGDOM COVENANT CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALISHA WHITE (OWNER)
(601) 213-7010
Entity
Organization

Contact information

Practice address
3512 FOREST HILL RD, JACKSON, MS 39212-3819
(601) 213-7010
Mailing address
3512 FOREST HILL RD, JACKSON, MS 39212-3819
(601) 213-7010

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
12/11/2025
Last updated
05/14/2026
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