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Gary Alonzo Odom
Home Health Agency in Flat Rock, Michigan
NPI 1902666910

Gary Alonzo Odom is a Home Health Agency based in Brownstown Twp, MI. Gary Alonzo Odom practices in Flat Rock, MI. The NPI Number for Gary Alonzo Odom is 1902666910 and holds a License No. (Michigan).

The current practice location address for Gary Alonzo Odom is 24633 Mayfair St, Flat Rock, MI and can be reached out via phone at 313-930-1169.

Location: 24633 Mayfair St, Flat Rock, MI, 48183-4643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902666910
Provider Name
Gary Alonzo Odom
Credential
Provider Entity Type
Individual
Gender
Male
Address
24633 Mayfair St, Flat Rock, MI, 48183-4643
Phone Number
313-930-1169
Fax Number
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
24633 Mayfair St
City
Flat Rock
State
Michigan
Zip
48134-1311
Phone Number
313-930-1169
Fax Number
person
Provider Business Mailing Address Details
Address
24633 Mayfair St
City
Flat Rock
State
Michigan
Zip
48134-1311
Phone Number
313-930-1169
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
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.
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