Organization
FAMILY HOSPICE, LTD.
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
4040 BROADWAY STE 305 - 306, SAN ANTONIO, TX 78209-6353
(210) 738-8141
(210) 738-3507
Mailing address
PO BOX 4060, MOORESVILLE, NC 28117-4060
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000216000
—
TX
05
—
000219700
—
TX
Enumeration date
08/07/2006
Last updated
10/11/2023
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