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Organization

COVENANT HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SANDRA LEE LEVENGOOD MBA, RN (EXECUTIVE DIRECTOR)
(800) 726-8761
Entity
Organization

Contact information

Practice address
1223 POTTSVILLE PIKE, SHOEMAKERSVILLE, PA 19555-1719
(800) 726-8761
(570) 385-5287
Mailing address
1223 POTTSVILLE PIKE, SHOEMAKERSVILLE, PA 19555-1719
(800) 726-8761
(570) 385-5287

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
159199
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100773957
PA
05
1007739570004
PA
05
1007739570005
PA
01
1838
BLUE SHIELD HOSPICE PROV.
PA
01
391591
KEYSTONE HOSPICE PROV.NO.
PA
01
86900
GEISINGER HOSPICE PROV.NO
PA
Enumeration date
10/19/2006
Last updated
10/04/2011
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