Organization
ODESSA HOME HEALTHCARE LLC
Active
Other names
odessa health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRINA RENEE WADE EMTP (OPERATION MANAGER)
(866) 681-7514
Entity
Organization
Contact information
Practice address
3867 KENTUCKY DERBY DR, FLORISSANT, MO 63034-3326
(314) 749-3067
Mailing address
3867 KENTUCKY DERBY DR, FLORISSANT, MO 63034-3326
(314) 749-3067
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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