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Organization
MID-SOUTH HOME CARE SERVICES, INC.
Active
Organization
MID-SOUTH HOME CARE SERVICES, INC.
Active
Parent organization
GENTIVA HEALTH SERVICES, INC.
Other names
Gentiva Respiratory Services & HME
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENTIVA HEALTH SERVICES, INC.
Authorized official
RUTH SCHWARTZ (DIRECTOR LICENSURE)
(913) 814-2288
Entity
Organization
Contact information
Practice address
802 CCS ST, FORT WALTON BEACH, FL 32547-3699
(913) 814-2800
Mailing address
12900 FOSTER ST, SUITE 400, OVERLAND PARK, KS 66213-2649
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
07/04/2006
Last updated
04/18/2008
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