Organization
COVENANT HOSPICE INC
Active
Organization
COVENANT HOSPICE INC
Active
Other names
COVENANT HOSPICE INPATIENT UNIT AT WEST FL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE O KNEE (PRESIDENT CEO)
(850) 433-2155
Entity
Organization
Contact information
Practice address
8383 N DAVIS HWY, PENSACOLA, FL 32514-6039
(850) 205-0920
(850) 479-6167
Mailing address
5041 N 12TH AVE, PENSACOLA, FL 32504-8916
(850) 433-2155
(850) 202-5819
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
5025095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U20
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/26/2006
Last updated
08/22/2020
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