Organization
COVENANT 15 16 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN THOMAS CAPELL M.S., BCBA., LBA (EXECUTIVE DIRECTOR)
(833) 314-2215
Entity
Organization
Contact information
Practice address
6725 S FRY RD STE 700-514, KATY, TX 77494-8102
(833) 314-2215
Mailing address
6725 S FRY RD STE 700-514, KATY, TX 77494-8102
(833) 314-2215
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
09/22/2021
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