Organization
ODYSSEY HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH L FRIDAY QP (PRESIDENT)
(704) 249-7436
Entity
Organization
Contact information
Practice address
811 S OAKLAND ST STE A, GASTONIA, NC 28054-0472
(704) 249-7236
Mailing address
811-A SOUTH OAKLAND ST., GASTONIA, NC 28054
(704) 249-7236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4361
NC
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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