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Organization

COVENANT HOME SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GLORIA JEAN KLINEFELTER (PRESIDENT)
(763) 755-9009
Entity
Organization

Contact information

Practice address
11375 ROBINSON DR NW, SUITE 104, COON RAPIDS, MN 55433-2590
(763) 755-9009
(763) 862-8030
Mailing address
11375 ROBINSON DR NW, SUITE 104, COON RAPIDS, MN 55433-2590
(763) 755-9009
(763) 862-8030

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
332466
MN

Other

Enumeration date
08/15/2006
Last updated
08/22/2020
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