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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
3201 DAUPHIN ST, SUITE D, MOBILE, AL 36606-4057
(251) 478-8671
(251) 478-6931
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
E4910
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
012-506
BLUE CROSS BLUE SHIELD
AL
05
PIC1011E
AL
Enumeration date
12/21/2006
Last updated
08/22/2020
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