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Organization

ODIN STREET PARKS GROUP LLC

Active
Other names
CentrePointe
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTEN WILLIAS (OWNER)
(504) 400-6844
Entity
Organization

Contact information

Practice address
8142 ANDERWOOD KNOLL TRCE, RICHMOND, TX 77407-1886
(281) 241-9691
(281) 710-0907
Mailing address
PO BOX 870147, NEW ORLEANS, LA 70187-0147
(504) 400-6844
(281) 710-0907

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251T00000X
PACE Provider Organization
253Z00000X
In Home Supportive Care Agency
Primary
310400000X
Assisted Living Facility
3104A0625X
Assisted Living Facility (Mental Illness)
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
311ZA0620X
Adult Care Home Facility
314000000X
Skilled Nursing Facility
342000000X
Transportation Network Company
343900000X
Non-emergency Medical Transport (VAN)
385H00000X
Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
06/09/2022
Last updated
06/09/2022
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