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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 : 1952542177
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 : ATTN REGULATORY
City : MOORESVILLE
State : NC
Zip : 28117-4060
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4820 BUSINESS CENTER DR STE 175
Second Line :
City : FAIRFIELD
State : CA
Zip : 94534-1696
Country : US
Telephone Number : 707-639-4155
Fax Number : 707-864-5923
Authorized Official
Title or Position : VP OF LICENSURE
Name : JANET COMBS
Credential :
Telephone Number : 704-664-2876
Provider Enumeration Date : 03/18/2009
Last Update Date : 07/18/2024

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Directions to “ODYSSEY HEALTHCARE OPERATING A LP ” Practice Location

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