Organization
LIGHTHOUSE HOSPICE-COASTAL BEND, LLC
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
210 S CARANCAHUA ST STE 303, CORPUS CHRISTI, TX 78401-3040
(361) 992-2700
(361) 883-1906
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
011168
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001015384
—
TX
Enumeration date
01/15/2007
Last updated
01/21/2025
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