Organization
ODIN HEALTH AND REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALOM LICHTMAN (MANAGER)
(618) 775-6444
Entity
Organization
Contact information
Practice address
300 GREEN ST, ODIN, IL 62870-1062
(618) 775-6444
Mailing address
575 ROUTE 70, BRICK, NJ 08723-4042
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
12/06/2021
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