| NPI | 1023562865 |
|---|---|
| Other Name | COVENANT HOSPICE INPATIENT CENTER AT PROVIDENCE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | ROLAND CLENEAY CFO 850-433-2155 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315D00000X Hospice, Inpatient (Licence: FL 5025095) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2021-10-10 |