Organization
COVENANT IN HOME SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD RIVERS (DIRECTOR)
(314) 223-2077
Entity
Organization
Contact information
Practice address
224 ABINGTON DR, SAINT PETERS, MO 63376-8180
(636) 978-0933
(636) 203-5461
Mailing address
224 ABINGTON DR, SAINT PETERS, MO 63376-8180
(636) 978-0933
(636) 203-5461
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205076445
—
MO
Enumeration date
10/12/2012
Last updated
10/26/2012
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