| Organization Name: | ODDESSA HOME HEALTHCARE |
| NPI Number: | 1215315163 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TRINA RENEE WADE (CHEIF OPERATION OFFICER) |
| Mailing Address: | 2579 Millvalley Dr Florissant |
| State: | MO US |
| Postal Code: | 630312865 |
| Phone Number: | 3147493076 |
| Fax Number: | 3148371324 |
| NPI Enumeration Date: | 05/12/2015 |
| NPI Last Update Date: | 05/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |