Organization
WIREGRASS HOSPICE, LLC
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
5000 BRADFORD DR NW STE 3A, HUNTSVILLE, AL 35805-1937
(256) 837-1290
(256) 837-1540
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
—
120360
—
AL
05
—
120491
—
AL
05
—
123239
—
AL
05
—
PIC1021E
—
AL
Enumeration date
04/11/2008
Last updated
01/17/2023
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