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Organization

MID-SOUTH HOME CARE SERVICES, INC.

Active
Parent organization
GENTIVA HEALTH SERVICES, INC.
Other names
Gentiva Respiratory Services & HME
Organization subpart
Yes

Provider details

NPI number
Legal business name
GENTIVA HEALTH SERVICES, INC.
Authorized official
RUTH SCHWARTZ (DIRECTOR LICENSURE)
(913) 814-2288
Entity
Organization

Contact information

Practice address
802 CCS ST, FORT WALTON BEACH, FL 32547-3699
(913) 814-2800
Mailing address
12900 FOSTER ST, SUITE 400, OVERLAND PARK, KS 66213-2649

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)

Other

Enumeration date
07/04/2006
Last updated
04/18/2008
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