COVENANT CARE LLC NPI 1861943284

NPI Information

COVENANT CARE, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Rincon, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. COVENANT CARE, LLC NPI is 1861943284. The provider is registered as an organization entity type.

The provider's business location address is:

112 GOSHEN COMMERCIAL PARK DR.
RINCON, GA
ZIP 31326
Phone: (912) 826-3883

The provider's authorized official is Yemi Sonaike .
The authorized official title is Ceo and has the following contact phone number (912) 826-3883.

The enumeration date for this NPI number is 10/20/2016 and was last updated on 10/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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