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General NPI Number Information
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NPI Number | 1407385925
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Entity Type | Organization
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Legal Business Name | ODESSEY RESIDENTIAL HOMES LLC
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8240 PIPPIN RD
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City | CINCINNATI
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State | OH
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Zip | 45239
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Country | US
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Telephone | 513-970-5972
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Fax |
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Provider Business Mailing Address
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Address Line | 8240 PIPPIN RD
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City | CINCINNATI
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State | OH
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Zip | 45239-4321
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Country | US
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Telephone | 513-970-5972
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Fax |
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Authorized Official
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Title or Position | OWNER /OPERATOR
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Name | SHEILA KEMPER- CROSSTY
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Credential |
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Telephone | 513-970-5972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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