Organization
ODYSSEY REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY HAYES (MANAGING MEMBER)
(304) 842-9887
Entity
Organization
Contact information
Practice address
41 CRESTVIEW TER, BRIDGEPORT, WV 26330-1010
(304) 842-7101
Mailing address
415 BENEDUM DR, BRIDGEPORT, WV 26330-1503
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1063692333
WV
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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