Organization
COVENANT HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DEAN STOUT (EXECUTIVE DIRECTOR)
(479) 883-3565
Entity
Organization
Contact information
Practice address
707 S ROLAND RD, UNIT 4, ROLAND, OK 74954-5337
(918) 427-3591
Mailing address
PO BOX 1282, ROLAND, OK 74954-1282
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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