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Organization

COVENANT COMMUNITY CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA GRIEBEL CHAVEZ (CFO)
(313) 554-0485
Entity
Organization

Contact information

Practice address
5716 MICHIGAN AVE, DETROIT, MI 48210-3039
(313) 554-1095
Mailing address
559 W GRAND BLVD, DETROIT, MI 48216-2200
(313) 554-1095

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
4704195855
MI
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
01/28/2007
Last updated
04/10/2023
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