Organization
REGENCY SOUTHERNCARE HOSPICE, LLC
Active
Other names
Gentiva
Organization subpart
No
Provider details
NPI number
Authorized official
JANET COMBS (SVP OF LEGAL AFFAIRS)
(704) 662-1761
Entity
Organization
Contact information
Practice address
2100 FIBER PARK DR STE 1, DALTON, GA 30720-3739
(706) 395-8700
(706) 671-2656
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
—
003202731A
—
GA
Enumeration date
11/15/2017
Last updated
07/20/2023
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