| Organization Name: | COVENANT HOSPICE INC |
| NPI Number: | 1023173432 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DALE O KNEE (PRESIDENT CEO) |
| Mailing Address: | 220 Eglin Pkwy Ne Fort Walton Beach |
| State: | FL US |
| Postal Code: | 325472857 |
| Phone Number: | 8507291800 |
| Fax Number: | 8508636191 |
| NPI Enumeration Date: | 12/26/2006 |
| NPI Last Update Date: | 01/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 5025095 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |