Organization
COVENANT HOUSE OF CARE, LLC
Active
Other names
Malineda Mandy Millionard
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MALINEDA MANDY MILLIONARD MS, ABA (OWNER)
(646) 651-9719
Entity
Organization
Contact information
Practice address
44 S MUNN AVE APT 9K, EAST ORANGE, NJ 07018-3683
(646) 651-9719
Mailing address
44 S MUNN AVE APT 9K, EAST ORANGE, NJ 07018-3683
(646) 651-9719
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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