Organization
ODYSSEY ADULT DAYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIMITRA A KELLUM (DIRECTOR)
(281) 370-2200
Entity
Organization
Contact information
Practice address
18303 STRACK DR, SPRING, TX 77379-8140
(281) 370-2200
Mailing address
18303 STRACK DR, SPRING, TX 77379-8140
(281) 370-2200
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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