Organization
COVENANT HOME HEALTHCARE
Active
Other names
Covenant Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL COLE (ADMINISTRATOR)
(918) 249-0221
Entity
Organization
Contact information
Practice address
1115 S ASPEN AVE STE F, BROKEN ARROW, OK 74012-4859
(918) 249-0221
(918) 895-0050
Mailing address
1115 S ASPEN AVE STE F, BROKEN ARROW, OK 74012-4859
(918) 249-0221
(918) 895-0050
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC8094
OKLAHOMA DEPARTMENT OF HEALTH
OK
Enumeration date
05/23/2019
Last updated
05/23/2019
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