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General NPI Number Information
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NPI Number | 1003635046
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Entity Type | Organization
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Legal Business Name | ODYSSEY HOME CARE SERVICES INC
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 8590 WEST MARLBORO RD
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City | FARMVILLE
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State | NC
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Zip | 27828-8509
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Country | US
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Telephone | 252-753-9997
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 605
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City | FARMVILLE
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State | NC
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Zip | 27828-0605
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Country | US
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Telephone | 252-753-9997
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Fax | 252-353-2973
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | MS. BRENDA GREEN
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Credential |
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Telephone | 252-341-9997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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