Organization
ODYSSEY HEALTHCARE OPERATING A LP
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
4500 KRUSE WAY STE 100, LAKE OSWEGO, OR 97035-2562
(503) 635-2170
(503) 635-1225
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
—
298955
—
OR
Enumeration date
08/02/2005
Last updated
01/17/2023
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