Covenant Hospice Inc

NPI 1023173432 - Hospice Care, Community Based - 251G00000X

NPI Details
NPI 1023173432
Enumeration Date 12/26/2006
Last Updated 01/17/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DALE O DALE
Position PRESIDENT CEO
Phone (850) 729-1800
Fax (850) 863-6191
Practice Location
220 EGLIN PKWY NE
FORT WALTON BEACH FL, 32547-2857, US
Phone (850) 729-1800
Fax (850) 863-6191
Business Location
5041 N 12TH AVE
PENSACOLA FL, 32504-8916, US
Phone (850) 433-2155
Fax (850) 202-5819
Toxanomy
Taxonomy Code 251G00000X
License State Florida
License Number 5025095
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According to our database, Covenant Hospice Inc NPI is 1023173432, taxonomy code is 251G00000X and license number is 5025095, license state is located at Florida. Covenant Hospice Inc physically located at 220 Eglin Pkwy Ne, Fort Walton Beach FL, 32547-2857. NPI Number 1033115704 has the healthcare provider type.

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1023173432 NPI number is provided on an as is basis without warranty of any kind. 1023173432 is maintained by the National Plan & Provider Enumeration System. The contents of Covenant Hospice Inc are for informational purposes only.