Organization
ODYSSEY HEALTHCARE OPERATING B LP
Active
Other names
Gentiva I
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET COMBS (VP OF LICENSURE)
(704) 662-1761
Entity
Organization
Contact information
Practice address
25925 TELEGRAPH RD STE 102, SOUTHFIELD, MI 48033-2527
(248) 356-5070
(248) 356-6292
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
—
1433870
—
MI
05
—
154416575
—
MI
Enumeration date
08/04/2005
Last updated
01/11/2023
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