Organization
ODELL LLC
Active
Other names
Messiah Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN ODELL KELLY ODELL CRT (PRESIDENT)
(318) 671-5303
Entity
Organization
Contact information
Practice address
1780 E BERT KOUNS LOOP, SUITE 808, SHREVEPORT, LA 71105-5560
(318) 671-5303
(318) 671-5366
Mailing address
PO BOX 316, KEITHVILLE, LA 71047-0316
(318) 671-5303
(318) 671-5366
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
CRT.LT3308
LA
Other
Enumeration date
05/31/2006
Last updated
09/11/2025
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