# COVENANT HOSPICE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COVENANT HOSPICE CHILDRENS PROGRAM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154486017
- **Authorized official:** MR. ROLAND CLENEAY (CFO)
- **Authorized official phone:** (850) 433-2155

## Contact information

- **Practice address:** 5041 N 12TH AVE, PENSACOLA, FL 32504-8916
- **Practice address phone:** (850) 433-2155
- **Practice address fax:** (850) 202-5819
- **Mailing address:** 5041 N 12TH AVE, PENSACOLA, FL 32504-8916
- **Mailing address phone:** (850) 433-2155
- **Mailing address fax:** (850) 202-5819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 5025095 | FL | Yes |

## Other

- **Enumeration date:** 12/22/2006
- **Last updated:** 10/08/2021