| NPI | 1740883040 |
|---|---|
| Former Legal Business Name | COVENANT OF COMPANIONSHIP, LLC |
| Entity Type | Organization |
| Authorized Contact | MAKEBA JANEA WASHINGTON Chief Executive Officer 469-682-9506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251C00000X |
| 252Y00000X Early Intervention Provider Agency | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |