Tequia Odom is a Private Vehicle based in Raymond, MS. Tequia Odom practices in Raymond, MS. The NPI Number for Tequia Odom is 1619416856 and holds a License No. (Mississippi).
The current practice location address for Tequia Odom is 1825 Seaton Rd, Raymond, MS and can be reached out via phone at 601-951-8913.
Location: 1825 Seaton Rd, Raymond, MS, 39154-9415
Provider Profile Details
NPI Number
1619416856
Provider Name
Tequia Odom
Credential
Provider Entity Type
Individual
Gender
Female
Address
1825 Seaton Rd, Raymond, MS, 39154-9415
Phone Number
601-951-8913
Fax Number
Provider Enumeration Date
02/21/2017
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1825 Seaton Rd
City
State
Zip
39154-9415
Phone Number
601-951-8913
Fax Number
Provider Business Mailing Address Details
Address
1825 Seaton Rd
City
State
Zip
39154-9415
Phone Number
601-951-8913
Fax Number
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
800963665 (Mississippi)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Provider's Taxonomy Details 2
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
License No.
()
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Provider's Taxonomy Details 3
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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