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Organization
COVENANT HOSPICE INC
Active
Organization
COVENANT HOSPICE INC
Active
Other names
COVENANT HOSPICE CHILDRENS PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLAND CLENEAY (CFO)
(850) 433-2155
Entity
Organization
Contact information
Practice address
5041 N 12TH AVE, PENSACOLA, FL 32504-8916
(850) 433-2155
(850) 202-5819
Mailing address
5041 N 12TH AVE, PENSACOLA, FL 32504-8916
(850) 433-2155
(850) 202-5819
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
5025095
FL
Other
Enumeration date
12/22/2006
Last updated
10/08/2021
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