Healthcare Provider Details

I. General information

NPI: 1811711823
Provider Name (Legal Business Name): ODYSSEY DAY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 CYPRESS LANDING DR
HOUSTON TX
77090-3601
US

IV. Provider business mailing address

2115 CYPRESS LANDING DR
HOUSTON TX
77090-3601
US

V. Phone/Fax

Practice location:
  • Phone: 936-280-0030
  • Fax:
Mailing address:
  • Phone: 936-280-0030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DIMITRA SMITH
Title or Position: DIRECTOR
Credential:
Phone: 281-787-7965