Organization
COVENANT HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY JAMICE JACKSON RN, BSN (OWNER, ADMINISTATOR)
(216) 296-4817
Entity
Organization
Contact information
Practice address
3601 SHADY TIMBER DR, TWINSBURG, OH 44087-4945
(216) 296-4817
Mailing address
3601 SHADY TIMBER DR, TWINSBURG, OH 44087-4945
(216) 296-4817
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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