Organization
ODYSSEY HEALTHCARE OPERATING A LP
Active
Other names
Gentiva
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L. COMBS (AUHORIZED OFFICIAL)
(704) 662-1761
Entity
Organization
Contact information
Practice address
2961 N POINT CIR STE 202, FAYETTEVILLE, AR 72704-6976
(501) 508-8531
Mailing address
PO BOX 4060, MOORESVILLE, NC 28117-4060
(704) 664-2876
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR5326
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AR57801
STATE LICENSE
AR
Enumeration date
08/04/2017
Last updated
11/26/2024
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