Organization
COVENANT CARE HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE BACCI (ADMINISTRATOR)
(316) 371-6563
Entity
Organization
Contact information
Practice address
1005 S GLENDALE ST, WICHITA, KS 67218-3203
(316) 771-7315
(316) 771-7319
Mailing address
1005 S GLENDALE ST, WICHITA, KS 67218-3203
(316) 771-7315
(316) 771-7319
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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