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
36947 COOK ST, BLDG. 10, SUITE 102, PALM DESERT, CA 92211-6078
(760) 346-2816
(760) 674-1707
Mailing address
PO BOX 4060, ATTN REGULATORY, 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
—
HPC01716G
—
CA
Enumeration date
08/02/2005
Last updated
06/22/2023
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