Organization
COVENANT HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE O KNEE (PRESIDENT CEO)
(850) 433-2155
Entity
Organization
Contact information
Practice address
1040 STANTON ROAD, SUITE D, DAPHNE, AL 36526-4143
(251) 626-5255
(251) 626-5922
Mailing address
5041 N 12TH AVE, PENSACOLA, FL 32504-8916
(850) 433-2155
(850) 202-5819
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
E0206
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012-506
BLUE CROSS BLUE SHIELD
AL
05
—
PIC1033E
—
AL
Enumeration date
12/21/2006
Last updated
04/20/2008
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