Organization
COVENANT IN HOME CARE LLC
Active
Organization
COVENANT IN HOME CARE LLC
Active
Other names
Covenant Care
Organization subpart
No
Provider details
NPI number
Authorized official
KINSLEY KATHRYN PITTMAN (MEMBER)
(816) 364-2600
Entity
Organization
Contact information
Practice address
2400 FREDERICK AVE, SUITE 201, SAINT JOSEPH, MO 64506-2758
(816) 364-2600
(816) 901-3053
Mailing address
2400 FREDERICK AVE, SUITE 201, SAINT JOSEPH, MO 64506-2758
(816) 364-2600
(816) 901-3053
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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