Organization
COVENANT HEALTH CARE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWIGHT LORENZO BYNUM (DEPUTY ADMINISTRATOR)
(301) 437-2844
Entity
Organization
Contact information
Practice address
10115 BARTLEY WAY, LANHAM, MD 20706-2385
(301) 731-1366
(301) 731-1944
Mailing address
10115 BARTLEY WAY, LANHAM, MD 20706-2385
(301) 731-1366
(301) 731-1944
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2460
MD
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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