Organization
COVENANT HOSPICE INC
Active
Other names
JOYCE GOLDENBERG HOSPICE RESIDENCE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLAND CLENEAY (CFO)
(850) 433-2155
Entity
Organization
Contact information
Practice address
10075 HILLVIEW DR, PENSACOLA, FL 32514-5469
(850) 484-3529
(850) 484-2770
Mailing address
5041 N 12TH AVE, PENSACOLA, FL 32504-8916
(850) 433-2155
(850) 202-5819
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
5025095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087517100
—
FL
01
—
U20
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/26/2006
Last updated
10/10/2021
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