Individual
OTHELL RAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1319 W BROAD AVE, ALBANY, GA 31707-4343
(229) 496-9147
(229) 496-9258
Mailing address
1319 W BROAD AVE, ALBANY, GA 31707-4343
(229) 496-9147
(229) 496-9258
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us