Organization
COVENANT HOME CARE LLC
Active
Other names
Covenant Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA LYNN REEVES RN (ADMIN)
(248) 593-6177
Entity
Organization
Contact information
Practice address
1133 W LONG LAKE RD, SUITE 150, BLOOMFIELD HILLS, MI 48302-1983
(248) 593-6177
(248) 593-6002
Mailing address
133 WEST LONG LAKE ROAD, STE 150, BLOOMFIELD HILLS, MI 48302
(248) 593-6177
(248) 593-6002
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4988105
—
MI
Enumeration date
05/12/2006
Last updated
12/31/2015
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