Organization
ODYSSEY HEALTHCARE OPERATING A, LP
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
3801 W MAIN ST STE A, RUSSELLVILLE, AR 72801-2313
(479) 219-6211
(479) 890-2563
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
—
216624747
—
AR
Enumeration date
06/21/2016
Last updated
11/20/2023
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