Organization
COVENANT IN HOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRELL LYNN SIMMS (DESIGNATED MANAGER/DIRECTOR)
(314) 361-1935
Entity
Organization
Contact information
Practice address
224 ABINGTON DR, SAINT PETERS, MO 63376-8180
(636) 978-0933
Mailing address
8227 PAGE AVE, SAINT LOUIS, MO 63130-1116
(314) 890-0025
(314) 890-0194
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/28/2009
Last updated
02/28/2009
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