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Covenant Care Services, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Salem, Missouri
NPI 1114276029

Covenant Care Services, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fredericktown, MO. Covenant Care Services, Llc practices in Salem, MO. The NPI Number for Covenant Care Services, Llc is 1114276029 and holds a License No. 1008 (Missouri).

The current practice location address for Covenant Care Services, Llc is 407 E 4Th St, Salem, MO and can be reached out via phone at 573-783-6256 and via fax at 573-783-8148.

Location: 407 E 4Th St, Salem, MO, 63645-0110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114276029
Provider Name
Covenant Care Services, Llc
Credential
Provider Entity Type
Organization
Address
407 E 4Th St, Salem, MO, 63645-0110
Phone Number
573-783-6256
Fax Number
573-783-8148
Provider Enumeration Date
09/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1487749537 05 MO
1245370808 05 MO
1326188996 05 MO
1770623266 05 MO
1871823955 05 MO
institution
Provider Business Practice Location Address Details
Address
407 E 4Th St
City
Salem
State
Missouri
Zip
65560-1547
Phone Number
573-783-6256
Fax Number
573-783-8148
person
Provider Business Mailing Address Details
Address
407 E 4Th St
City
Salem
State
Missouri
Zip
65560-1547
Phone Number
573-783-6256
Fax Number
573-783-8148
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
1008 (Missouri)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
1008 (Missouri)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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