Organization
COVENANT CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN K REAGAN (MEMBER-MANAGER)
(573) 783-6256
Entity
Organization
Contact information
Practice address
120 S MINE LA MOTTE ST, FREDERICKTOWN, MO 63645-1229
(573) 783-6256
(573) 783-8148
Mailing address
120 S MINE LA MOTTE ST, FREDERICKTOWN, MO 63645-1229
(573) 783-6256
(573) 783-8148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/07/2007
Last updated
09/11/2025
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