Organization
TNMO HEALTHCARE, LLC
Active
Other names
Gentiva
Organization subpart
No
Provider details
NPI number
Authorized official
JANET COMBS (VP OF LICENSURE)
(704) 664-2876
Entity
Organization
Contact information
Practice address
1540 BRIDGE SCHOOL RD., ROLLA, MO 65401-8115
(573) 364-3610
(573) 641-9018
Mailing address
P.O. BOX 4060, ATTN: REGULATORY, MOORESVILLE, NC 28117-1157
(704) 662-0416
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260041196
—
MO
05
—
270044376
—
MO
Enumeration date
02/26/2016
Last updated
11/26/2024
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