Organization
COVENANT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARON JEANNE SHIELDS (ADMINISTRATOR)
(757) 224-9944
Entity
Organization
Contact information
Practice address
6 W COUNTY ST, SUITE 108, HAMPTON, VA 23663-2336
(757) 224-9944
(757) 224-2659
Mailing address
6 W COUNTY ST, SUITE 108, HAMPTON, VA 23663-2336
(757) 224-9944
(757) 224-2659
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HCO-11669
VA
385H00000X
Respite Care
Primary
HCO-11669
VA
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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