Organization
COVENANT HOME SERVICES
Active
Other names
CovenantCare at Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH MALZAHN (VICE PRESIDENT OF HEALTH SERVICES)
(773) 878-4430
Entity
Organization
Contact information
Practice address
3755 EAST MAIN STREET, SUITE 165, ST CHARLES, IL 60174
(630) 845-0680
(630) 845-0685
Mailing address
3755 E MAIN ST STE 165, ST CHARLES, IL 60174-2409
(630) 845-0680
(630) 845-0685
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011067
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9898
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/01/2007
Last updated
07/06/2016
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