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Organization

SONG HEALTH & REHAB OF COLUMBIA, LLC

Active
Parent organization
COVENANT DOVE, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
COVENANT DOVE, LLC
Authorized official
CHRISTOPHER J MURPHY (VICE PRESIDENT)
(901) 937-7994
Entity
Organization

Contact information

Practice address
1506 N MAIN ST, COLUMBIA, MS 39429-2070
(601) 736-9557
(601) 736-7523
Mailing address
1506 N MAIN ST, COLUMBIA, MS 39429-2070
(601) 736-9557
(601) 736-7523

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09029001
MS
Enumeration date
11/11/2009
Last updated
04/12/2012
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