Organization
COVENANT HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN MADUKA (OWNER)
(469) 209-3783
Entity
Organization
Contact information
Practice address
4229 GLENHAVEN DR, GARLAND, TX 75042-6120
(469) 209-3783
(972) 276-8759
Mailing address
4229 GLENHAVEN DR, GARLAND, TX 75042-6120
(469) 209-3783
(972) 276-8759
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/19/2019
Last updated
04/29/2022
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