Organization
ODYSSEY HEALTHCARE OPERATING A, LP
Active
Other names
Gentiva
Organization subpart
No
Provider details
NPI number
Authorized official
JANET COMBS (VP OF LICENSURE)
(704) 662-1761
Entity
Organization
Contact information
Practice address
210 N STATE LINE AVE STE 502, TEXARKANA, AR 71854-5912
(870) 330-7798
(870) 774-0644
Mailing address
PO BOX 4060, MOORESVILLE, NC 28117-4060
(704) 664-2876
(704) 664-1306
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216190747
—
AR
Enumeration date
06/21/2016
Last updated
02/23/2023
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