| NPI | 1821624966 |
|---|---|
| Former Legal Business Name | COVENANT HEALTH AMBULANCE SERVICE, INC |
| Entity Type | Organization |
| Authorized Contact | QUEEN OMOKO Owner 224-856-5920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |