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Organization

COVENANT HOME HEALTH CARE AGENCY LLC

Active
Other names
Covenant Care Agency
Organization subpart
No

Provider details

NPI number
Authorized official
OMONIYI MAUDE ANNIE RN (ADMINISTRATOR)
(352) 405-7077
Entity
Organization

Contact information

Practice address
1731 NW 6TH ST STE B1, GAINESVILLE, FL 32609-8515
(240) 581-2279
(407) 602-0015
Mailing address
1731 NW 6TH ST STE B1, GAINESVILLE, FL 32609-8515
(240) 581-2279
(407) 602-0015

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117486900
FL
Enumeration date
12/16/2022
Last updated
08/05/2024
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