Organization
COVENANT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ODUWA AGANMWONYI (GENERAL MANAGER)
(763) 528-8303
Entity
Organization
Contact information
Practice address
7015 BROOKLYN BLVD, SUITE 106, BROOKLYN CENTER, MN 55429-1365
(763) 528-8303
Mailing address
7015 BROOKLYN BLVD, SUITE 106, BROOKLYN CENTER, MN 55429-1376
(763) 528-8303
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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