Organization · Type 2 NPI
Odyssey Adult Day Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Vicksburg, MS
Practice location
1304 Clay St
Vicksburg, MS 39183-3012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Maintenance Organization | 302R00000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
2 other providers at this address
About NPI 1780972026
Odyssey Adult Day Services's National Provider Identifier is 1780972026, issued on Jul 20, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Vicksburg, MS. The record was last updated on Jul 20, 2011.