Organization
SENIOR GROUP LLC DBA ODESSACONNECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BLAIR LPN (CLINICAL ADVISOR)
(865) 242-5004
Entity
Organization
Contact information
Practice address
720 W MAIN ST, LOUISVILLE, KY 40202-3634
(865) 242-5004
Mailing address
3917 DEERFIELD RD, KNOXVILLE, TN 37921-3213
(865) 242-5004
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
231HA2500X
Assistive Technology Supplier Audiologist
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/23/2024
Last updated
11/21/2025
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