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Contact Information

ODESSA R BRADLEY, HOMEHEALTH
601 US HIGHWAY 278 BYP E
PIEDMONT, AL36272-1457
 Phone: 256-499-3765
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for ODESSA R BRADLEY · (Female)

NPI # 1093301400
Status Active
Credentials HOMEHEALTH
Entity Individual
Enumeration date 12/19/2020
Last updated 05/28/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 20213537
  • AL License # 20213979
  • AL License # 4179
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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