Individual
ODESSA RENE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOMEHEALTH
Contact information
Practice address
601 US HIGHWAY 278 BYP E, PIEDMONT, AL 36272-1457
(256) 499-3765
Mailing address
601 US HIGHWAY 278 BYP E, PIEDMONT, AL 36272-1457
(256) 499-3765
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
20213979
AL
251E00000X
Home Health Agency
Primary
4179
AL
374U00000X
Home Health Aide
20213537
AL
Other
Enumeration date
12/19/2020
Last updated
05/28/2021
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