Organization
TNMO HEALTHCARE, LLC
Active
Other names
Gentiva
Organization subpart
No
Provider details
NPI number
Authorized official
JANET COMBS (VP OF LICENSURE)
(704) 664-2876
Entity
Organization
Contact information
Practice address
1540 BRIDGESCHOOL RD, ROLLA, MO 65401-8115
(573) 364-3610
(573) 641-9018
Mailing address
PO BOX 4060, MOORESVILLE, NC 28117-4060
(704) 662-0416
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
113306095
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263446106
—
MO
05
—
283446102
—
MO
05
—
853446102
—
MO
Enumeration date
11/20/2006
Last updated
11/26/2024
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