Organization
COVENANT CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN KEITH REAGAN (MEMBER/MANAGER)
(573) 783-6256
Entity
Organization
Contact information
Practice address
120 S. MINE LAMOTTE, FREDERICKTOWN, MO 63645
(573) 783-6256
(573) 783-8148
Mailing address
120 S. MINE LAMOTTE, FREDERICKTOWN, MO 63645
(573) 783-6256
(573) 783-8148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
09/11/2025
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