Organization
COVENANT BPEY HOLDINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YEMI SONAIKE (CEO)
(912) 826-3883
Entity
Organization
Contact information
Practice address
806 TOWNE PARK DR STE 100, RINCON, GA 31326-9369
(912) 826-3883
(866) 492-2196
Mailing address
806 TOWNE PARK DR STE 100, P. O. BOX 1082, RINCON, GA 31326-9369
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
671861833A
—
GA
05
—
671861833C
—
GA
Enumeration date
01/15/2014
Last updated
01/15/2014
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