| NPI | 1710572110 |
|---|---|
| Former Legal Business Name | COVENANT CARE PERSONAL SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | LOIS WATKINS CEO/Owner 317-331-8503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-08 |