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Organization

MID-SOUTH HOME CARE SERVICES, INC.

Active
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Organization

MID-SOUTH HOME CARE SERVICES, INC.

Active
Parent organization
GENTIVA HEALTH SERVICES, INC.
Other names
Mid-South
Organization subpart
Yes

Provider details

NPI number
Legal business name
GENTIVA HEALTH SERVICES, INC.
Authorized official
MS. RUTH C. SCHWARTZ (ASSISTANT SECRETARY)
(913) 814-2288
Entity
Organization

Contact information

Practice address
2200 RIVERCHASE CENTER DR, BLDG 700, SUITE 700, BIRMINGHAM, AL 35244-2866
(205) 945-7055
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)
3336H0001X
Home Infusion Therapy Pharmacy
3336M0002X
Mail Order Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510-42475
G2
01
510-57168
G2
Enumeration date
06/27/2006
Last updated
06/21/2018
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