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Organization

COVENANT COMPASSIONATE CARE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMIE RUSSELL RN (OWNER)
(816) 364-2600
Entity
Organization

Contact information

Practice address
2400 FREDERICK AVE, STE 507, SAINT JOSEPH, MO 64506-2758
(816) 364-2600
Mailing address
2400 FREDERICK AVE, STE 507, SAINT JOSEPH, MO 64506-2758
(816) 364-2600

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
764-1
MO

Other

Enumeration date
02/04/2008
Last updated
02/04/2008
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