Organization
COVENENT CARE HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORONE NICOLA REID (ADMINISTRATOR)
(770) 707-2759
Entity
Organization
Contact information
Practice address
132 ASHTONBROOK DR, MCDONOUGH, GA 30252-6706
(770) 707-2759
Mailing address
132 ASHTONBROOK DR, MCDONOUGH, GA 30252-6706
(770) 707-2759
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
743261544
GA
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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