NPI 1568234920

Covenant House of Care, LLC

Organisation Intellectual Disabilities Intermediate Care Facility East Orange, NJ

Practice location

Address: 44 S Munn Ave APT 9k, East Orange, NJ 07018-3683
Phone: (646) 651-9719

Authorised official

Name: Malineda Mandy Millionard
Title: Owner
Phone: (646) 651-9719

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in New Jersey →

Registry record

NPI: 1568234920
Entity type: Organization
NPI issued: 27 Oct 2023
Record last updated: 27 Oct 2023

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.