Organization
COVERSON A&G HOLDINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWENDOLYN STURRUP COVERSON (OWNER/DIRECTOR)
(954) 562-6699
Entity
Organization
Contact information
Practice address
19320 NW 8TH ST, PEMBROKE PINES, FL 33029-3258
(954) 562-6699
Mailing address
19320 NW 8TH ST, PEMBROKE PINES, FL 33029-3258
(954) 562-6699
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
11/03/2022
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