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NPI Code Detail

MEDICARE: ODYSSEY HEALTHCARE OPERATING A, LP

MEDICARE: ODYSSEY HEALTHCARE OPERATING A, LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1710339825
Entity Type Code : Organization
Provider Name (Legal Business Name) : ODYSSEY HEALTHCARE OPERATING A, LP
Provider Business Mailing Address
First Line : PO BOX 4060
Second Line :
City : MOORESVILLE
State : NC
Zip : 28117-4060
Country : US
Telephone Number : 704-664-2876
Fax Number : 704-664-1306
Provider Business Practice Location Address
First Line : 235 GARDEN OAKS DR SW STE 235
Second Line :
City : CAMDEN
State : AR
Zip : 71701-3733
Country : US
Telephone Number : 870-498-4359
Fax Number : 870-837-2536
Authorized Official
Title or Position : VP OF LICENSURE
Name : JANET COMBS
Credential :
Telephone Number : 704-662-1761
Provider Enumeration Date : 07/13/2016
Last Update Date : 02/23/2023

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Directions to “ODYSSEY HEALTHCARE OPERATING A, LP ” Practice Location

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