Individual provider · Type 1 NPI

Matthew Odishoo

Adult Companion · Avondale, AZ

NPI number 1679069025 Active

Practice location

2114 S 118th Ave
Avondale, AZ 85323-7643

Fax (623) 777-1683

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XAL10626H (AZ)

Adult Companion: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

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About NPI 1679069025

Matthew Odishoo's National Provider Identifier is 1679069025, issued on Jul 9, 2018. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Avondale, AZ. The record was last updated on Jul 9, 2018.