Organization
BETHANY HOSPICE, LLC
Active
Other names
Gentiva
Organization subpart
No
Provider details
NPI number
Authorized official
JANET COMBS (VP OF LICENSURE)
(704) 664-2876
Entity
Organization
Contact information
Practice address
2913 WILLIAMS DR., SUITE 320, GEORGETOWN, TX 78628-2740
(512) 868-0505
Mailing address
PO BOX 4060, MOORESVILLE, NC 28117-4060
(704) 664-2876
(704) 664-1306
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
009947
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013978
—
TX
Enumeration date
12/21/2006
Last updated
10/11/2023
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