Organization
COVENANT HOSPICE,INC
Active
Organization
COVENANT HOSPICE,INC
Active
Other names
Covenant Hospice Inpatient Unit at Sacred Heart Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ODIN G. BERG (CFO)
(850) 433-2155
Entity
Organization
Contact information
Practice address
5151 N 9TH AVE FL 1, PENSACOLA, FL 32504-8721
(850) 262-7830
(850) 598-2753
Mailing address
5041 N 12TH AVE, PENSACOLA, FL 32504-8916
(850) 433-2155
(850) 202-5803
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
5025095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015986100
—
FL
Enumeration date
09/21/2017
Last updated
09/21/2017
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