Organization
ODYSSEY HEALTHCARE OPERATING A, LP
Active
Other names
Gentiva
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L. COMBS (AUTHORIZED OFFICIAL)
(704) 664-2876
Entity
Organization
Contact information
Practice address
100 E PEACH ST STE 280, EL DORADO, AR 71730-5897
(870) 498-4358
(870) 837-2528
Mailing address
P.O. BOX 4060, ATTN: REGULATORY, MOORESVILLE, NC 28117
(704) 664-2876
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282351732
—
AR
01
—
AR5796
STATE LICENSE
AR
Enumeration date
10/28/2021
Last updated
11/26/2024
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