NPI 1104690197

Covenant Cove Care LLC

Organisation Driver Grenada, MS

Practice location

Address: 101 Kirk Ave APT C7, Grenada, MS 38901-2880
Phone: (662) 647-7546

Authorised official

Name: Georgeanna Stokes
Title: Owner
Phone: (662) 647-7546

Registered specialties (2)

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1104690197
Entity type: Organization
NPI issued: 9 Nov 2023
Record last updated: 7 Mar 2024

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.