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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