Individual
MS. ODILE C BLEDSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 HEATHER GLEN DR, DALLAS, TX 75232-2313
(214) 677-5221
(214) 330-6194
Mailing address
1915 HEATHER GLEN DR, DALLAS, TX 75232-2313
(214) 677-5221
(214) 330-6194
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/01/2009
Last updated
08/10/2013
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