Organization
COVENANT CARE SERVICES, LLC
Active
Other names
Ashley's Place Adult Day Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN KEITH REAGAN (MANAGER)
(573) 783-6256
Entity
Organization
Contact information
Practice address
1610 W. HWY 72, FREDERICKTOWN, MO 63645
(573) 783-6256
(573) 783-8148
Mailing address
PO BOX 110, FREDERICKTOWN, MO 63645-0110
(573) 783-6256
(573) 783-8148
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
864
MO
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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