COVENANT OPTIMIZED LIVING LLC

SAINT JOSEPH, MO
NPI1467728303
Entity TypeOrganization
Authorized ContactKARI J HAYWOOD
Billing Manager
816-233-3700
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  112571)
Enumeration Date2012-03-26
Last Update Date2012-03-26
Business Address
COVENANT OPTIMIZED LIVING LLC
4910 FREDERICK AVE
SAINT JOSEPH, MO 64506-3246
Phone number: 816-233-3700
Mailing Address
COVENANT OPTIMIZED LIVING LLC
4910 FREDERICK AVE
SAINT JOSEPH, MO 64506-3246
Phone number: 816-233-3700