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Contact Information

COVENANT COMM. DEV. CORP.
1217 REV S HOWARD WOODSON JR WAY
TRENTON, NJ08638-4015
 Phone: 609-695-0684
 Fax: 609-396-1198
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for COVENANT COMM. DEV. CORP.

NPI # 1194910679
LBN Legal business name COVENANT COMM. DEV. CORP.
Authorized official ALMA VINCENT - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2007
Last updated 09/07/2007 - About 19 years ago
Identifiers
NJ Medicaid 0022101
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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