Organization
WIREGRASS HOSPICE, 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
2550 ACTON ROAD, SUITE 110, BIRMINGHAM, AL 35243-4248
(205) 870-4340
(205) 870-9928
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
—
106066
—
AL
05
—
117215
—
AL
05
—
117216
—
AL
05
—
117218
—
AL
Enumeration date
04/11/2008
Last updated
01/17/2023
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