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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