Individual provider · NPI-1
Pamella Omelda Odoms-Brown
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Apopka, FL
NPI number1003428467
StatusActive
Last updated in NPPESSep 28, 2020
Details
- NPI
- 1003428467
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Pamella Omelda Odoms-Brown
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2020
- Certification date
- Sep 24, 2020
- Last updated
- Sep 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
541 Shirley Dr.Apopka, FL 32712
Phone 407-883-6220
Mailing address
541 Shirley Dr.Apopka, FL 32712
Phone 407-883-6220
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