NPI 1043671704

The Covington's Cove Assisted Living Center LLC

Organisation Assisted Living Facility Hattiesburg, MS

Practice location

Address: 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401
Phone: (601) 310-8014
Mailing address: 510 Maple Dr, Petal, MS 39465-6816

Authorised official

Name: Travis Montez Deloach
Title: Owner
Phone: (601) 310-8014

Registered specialties (2)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Mississippi →

Assisted Living Facility (Behavioral Disturbances)

Nursing & Custodial Care Facilities Taxonomy 3104A0630X

Registry record

NPI: 1043671704
Entity type: Organization
NPI issued: 9 Mar 2016
Record last updated: 9 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.