32D0968529 CLIA NUMBER - FAMILY HOSPICE LTD DBA GENTIVA

Laboratory Demographics

CLIA Number: 32D0968529

Facility Name: FAMILY HOSPICE LTD DBA GENTIVA

Facility Address:
1515 WEST CALLE SUR ST SUITE 129
HOBBS, NM
ZIP 88240
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Facility Phone Number: 704 664-2876

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1033129887

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	32D0968529
LAB Type	Hospice
Facility Name	FAMILY HOSPICE LTD DBA GENTIVA
Street	1515 WEST CALLE SUR ST SUITE 129
City	HOBBS
State	NM
ZIP	88240
Phone	704 664-2876
CertificateType	4
CertificateEffectiveDate	7/16/2022
CertificateExpirationDate	7/15/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024