Organization
AVALON HOSPICE OHIO, LLC
Active
Other names
Gentiva
Organization subpart
No
Provider details
NPI number
Authorized official
JANET COMBS (VP OF LICENSURE)
(704) 662-1761
Entity
Organization
Contact information
Practice address
4010 EXECUTIVE PARK DR STE 225, CINCINNATI, OH 45241-4010
(513) 904-6189
(513) 898-3681
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0300742
—
OH
Enumeration date
01/24/2017
Last updated
01/11/2023
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