Organization
COVENANT HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME RAMEY ATTORNEY (GENERAL COUNSEL)
(252) 791-0083
Entity
Organization
Contact information
Practice address
115 E WATER ST, PLYMOUTH, NC 27962-1329
(252) 791-0083
(252) 791-0086
Mailing address
PO BOX 186, PLYMOUTH, NC 27962-0186
(252) 791-0083
(252) 791-0086
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3175
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418332
—
NC
Enumeration date
03/13/2007
Last updated
08/22/2020
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