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Odessa Mae Godfrey

Technician, Personal Care Attendant in White Sulphur Springs, WV. Individual provider (NPI-1).

NPI number1831702380
StatusActive
Last updated in NPPESJan 10, 2023

Details

NPI
1831702380
Entity type
Individual (NPI-1)
Name
Odessa Mae Godfrey
Sex
Female
Sole proprietor
No
Enumeration date
Aug 25, 2020
Certification date
Jan 10, 2023
Last updated
Jan 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

417 Ingleside Ave
White Sulphur Springs, WV 24986-3046

Phone 304-646-1670

Mailing address

417 Ingleside Ave
White Sulphur Springs, WV 24986-3046

Phone 304-646-1670

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Other Personal Care Attendant providers in White Sulphur Springs, WV

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