Organization
ODYSSEY HEALTHCARE OPERATING B, LP
Active
Other names
Gentiva, Kindred Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
JANET COMBS (VP OF LICENSURE)
(704) 664-1306
Entity
Organization
Contact information
Practice address
1326 N WHITMAN LN, LIBERTY LAKE, WA 99019-7594
(509) 789-4377
(509) 755-4962
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
IHS.FS.00000472
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205183878
—
ID
05
—
1205183878
—
WA
Enumeration date
08/13/2012
Last updated
01/17/2024
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