| NPI | 1104690197 |
|---|---|
| Doing Business As | COVENANT COVE CARE LLC |
| Entity Type | Organization |
| Authorized Contact | GEORGEANNA STOKES Owner 662-647-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2024-03-07 |