Organization
ODYSSEY HEALTHCARE OPERATING B, 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
808 MOOREFIELD PARK DR STE 113, NORTH CHESTERFIELD, VA 23236-3673
(804) 290-4300
(804) 282-4535
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010047871
—
VA
05
—
1265433718
—
VA
Enumeration date
08/09/2005
Last updated
01/17/2023
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