Covenant Hospice I/p Unit @bay Medical

NPI 1164797726 - Hospice Care, Community Based - 251G00000X

NPI Details
NPI 1164797726
Enumeration Date 03/15/2012
Last Updated 03/15/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DALE O DALE
Position PRESIDENT/CEO
Phone (850) 785-5550
Fax
Practice Location
615 N BONITA AVE
3RD FLOOR SOUTH
PANAMA CITY FL, 32401-3623, US
Phone (850) 785-5550
Fax
Business Location
615 N BONITA AVE
3RD FLOOR SOUTH
PANAMA CITY FL, 32401-3623, US
Phone (850) 785-5550
Fax
Toxanomy
Taxonomy Code 251G00000X
License State Florida
License Number 5025095
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According to our database, Covenant Hospice I/p Unit @bay Medical NPI is 1164797726, taxonomy code is 251G00000X and license number is 5025095, license state is located at Florida. Covenant Hospice I/p Unit @bay Medical physically located at 615 N Bonita Ave, Panama City FL, 32401-3623. NPI Number 1033115704 has the healthcare provider type.

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1164797726 NPI number is provided on an as is basis without warranty of any kind. 1164797726 is maintained by the National Plan & Provider Enumeration System. The contents of Covenant Hospice I/p Unit @bay Medical are for informational purposes only.