NPI 1780972026

Odyssey Adult Day Services

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Vicksburg, MS

Practice location

Address: 1304 Clay St, Vicksburg, MS 39183-3012
Phone: (601) 831-1090

Authorised official

Name: Delynn Smith
Title: Operations Manager
Phone: (601) 831-1090

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Mississippi →

Health Maintenance Organization

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Mississippi →

Registry record

NPI: 1780972026
Entity type: Organization
NPI issued: 20 Jul 2011
Record last updated: 20 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.