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Organization

VISTACARE USA, LLC

Active
Other names
Gentiva
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANET COMBS (VP OF LICENSURE)
(704) 664-2876
Entity
Organization

Contact information

Practice address
15 BRENDAN WAY, SUITE #100, GREENVILLE, SC 29615-3562
(864) 297-3164
Mailing address
655 BRAWLEY SCHOOL RD STE 200, MOORESVILLE, NC 28117-9601
(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
C53141HC
SC
05
HSP036
SC
Enumeration date
05/25/2006
Last updated
07/14/2024
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