Organization
ODYSSEY HEALTHCARE OPERATING A, LP
Active
Other names
Gentiva
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L. COMBS (VP OF LICENSURE)
(704) 664-2876
Entity
Organization
Contact information
Practice address
2400 CROCKETT DR STE 300, BROWNWOOD, TX 76801-5912
(325) 643-5718
(325) 643-6249
Mailing address
PO BOX 4060, MOORESVILLE, NC 28117-4060
(704) 664-2876
(704) 664-1306
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
251G00000X
Community Based Hospice Care Agency
Primary
011763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001016986
—
TX
Enumeration date
08/09/2006
Last updated
10/11/2023
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