Organization
COVENANT HOSPICE, INC.
Active
Organization
COVENANT HOSPICE, INC.
Active
Parent organization
COVENANT HOSPICE, INC.
Other names
Covenant Hospice Inpatient Center at Providence Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
COVENANT HOSPICE, INC.
Authorized official
ROLAND CLENEAY (CFO)
(850) 433-2155
Entity
Organization
Contact information
Practice address
6801 AIRPORT BLVD., MAIN TOWER, 11TH FLOOR NORTH, MOBILE, AL 36608
(850) 433-2155
Mailing address
5041 N. 12TH AVE., PENSACOLA, FL 32504
(850) 433-2155
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
315D00000X
Inpatient Hospice
Primary
5025095
FL
Other
Enumeration date
08/10/2016
Last updated
10/10/2021
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