NPI 1194910679

Covenant Comm. Dev. Corp.

Organisation Preferred Provider Organization Trenton, NJ

Practice location

Address: 1217 Rev S Howard Woodson Jr Way, Trenton, NJ 08638-4015
Phone: (609) 695-0684
Fax: (609) 396-1198

Authorised official

Name: Alma Corliss Vincent
Title: Ceo
Phone: (609) 695-0684

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in New Jersey →

Registry record

NPI: 1194910679
Entity type: Organization
NPI issued: 7 Sep 2007
Record last updated: 7 Sep 2007

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.