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Covenant Family Care, LLC

Details

Name: Covenant Family Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 03 Oct 2013 (11 years ago) (Companies founded in October 2013)
Entity Number: 000-288-540
Register Number: 000288540
ZIP code: 35749 (Companies in Madison, 35749)
County: Madison
Place of Formation: Madison County
Principal Address: 2838 JEFF ROAD SUITE DHARVEST, AL 35749

Activities MEDICAL CLINIC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932537065 2013-10-29 2013-10-29 2838 JEFF RD, SUITE D, HARVEST, AL, 357498646, US 2838 JEFF RD, SUITE D, HARVEST, AL, 357498646, US

Contacts

Phone +1 256-425-8004

Authorized person

Name DR. CYNTHIA BENITA BOOKER-GRADDICK
Role PARTNER
Phone 6154773364

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number 1025
State AL
Is Primary Yes

Agent

Name Role Address
BOOKER-GRADDICK, CYNTHIA Agent 2838 JEFF ROAD SUITE DHARVEST, AL 35749

Organizer

Name Role Address
BOOKER-GRADDICK, CYNTHIA Organizer 2838 JEFF ROAD SUITE DHARVEST, AL 35749
GRADDICK, JOHN II Organizer 212 HARVEST RIDGE DRIVEHARVEST, AL 35749

Member

Name Role Address
BOOKER-GRADDICK, CYNTHIA Member 2838 JEFF ROAD SUITE DHARVEST, AL 35749

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State