Organization
ODYSSEY HEALTHCARE OPERATING A 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
698 12TH ST SE STE 230, SALEM, OR 97301-4010
(503) 315-1003
Mailing address
P O BOX 4060, ATTN: REGULATORY, 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
—
500618086
—
OR
Enumeration date
02/11/2008
Last updated
01/17/2023
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