Organization
VISTACARE USA, LLC
Active
Other names
Gentiva
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET COMBS (VP OF LICENSURE)
(704) 662-1761
Entity
Organization
Contact information
Practice address
105 JIM MASON CT STE 100, WARNER ROBINS, GA 31088-9241
(478) 953-1016
(478) 953-1045
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
—
000821301A
—
GA
Enumeration date
06/03/2006
Last updated
01/17/2023
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