Organization
AVALON HOSPICE MINNESOTA, 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
8000 W 78TH ST STE 210, EDINA, MN 55439-2549
(612) 361-0022
(844) 587-4798
Mailing address
PO BOX 4060, MOORESVILLE, NC 28117-4060
(704) 664-2876
(704) 230-0946
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902343353
—
MN
Enumeration date
01/24/2017
Last updated
01/20/2026
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