Individual provider · Type 1 NPI

Heather Odom

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Flint, MI

NPI number 1275982175 Active

Practice location

1110 Eldon Baker Drive
Flint, MI 48507

Call (810) 742-3134 Map

Mailing address

1100 Eldon Baker Drive
Flint, MI 48502

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	None listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1275982175

Heather Odom's National Provider Identifier is 1275982175, issued on Jun 10, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Flint, MI. The record was last updated on Jun 13, 2016.