Organization · NPI-2

Covered LLC

Home Health · Racine, WI

NPI number1649705609
StatusActive
Last updated in NPPESApr 27, 2017

Details

NPI
1649705609
Entity type
Organization (NPI-2)
Legal business name
Covered LLC
Organization subpart
No
Enumeration date
Apr 27, 2017
Last updated
Apr 27, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Other names

  • Coveredcare (Doing Business As)

Practice location

1006 Washington Ave
Racine, WI 53403-1762

Phone 800-609-0071 · Fax 800-609-0071

Mailing address

1006 Washington Ave
Racine, WI 53403-1762

Phone 800-609-0071 · Fax 800-609-0071

Authorized official

Donisha Nesbitt
Executive Director
4143083688

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