Organization
COVENANT HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLAND CLENEAY (CFO)
(850) 433-2155
Entity
Organization
Contact information
Practice address
1545 RAYMOND DIEHL RD, TALLAHASSEE, FL 32308-1514
(850) 575-4998
(850) 386-9161
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
087517103
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087517103
—
FL
Enumeration date
04/06/2010
Last updated
10/10/2021
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