Organization
COVENANT PALLIATIVE AND HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1120 E MAIN ST STE 13, PHILADELPHIA, MS 39350-2300
(601) 656-7411
(601) 656-7931
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
207
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02280076
—
MS
Enumeration date
09/06/2012
Last updated
07/12/2022
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