Keith Allon Odle Jr.
Case Manager/Care Coordinator in Washington, DC. Individual provider (NPI-1).
NPI number1053005397
StatusActive
Last updated in NPPESJul 26, 2023
Details
- NPI
- 1053005397
- Entity type
- Individual (NPI-1)
- Name
- Keith Allon Odle Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2023
- Certification date
- Jul 26, 2023
- Last updated
- Jul 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
6323 Georgia Ave Nw Ste 200Washington, DC 20011-1141
Phone 202-316-0361
Mailing address
1201 Rosedale CtHyattsville, MD 20782-2293
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