Organization
MID-SOUTH HOME CARE SERVICES, LLC
Active
Other names
Gentiva Respiratory Services & HME
Organization subpart
No
Provider details
NPI number
Authorized official
JANET COMBS (VP OF LICENSURE)
(913) 814-2013
Entity
Organization
Contact information
Practice address
608 E. BALDWIN ROAD, PANAMA CITY, FL 32405-4208
(850) 769-4821
Mailing address
12900 FOSTER ST, SUITE 400, OVERLAND PARK, KS 66213-2649
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025753200
—
FL
05
—
686633696
—
FL
01
—
R9415
G2
FL
Enumeration date
06/18/2006
Last updated
09/23/2022
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