Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
POLYCARP ODOM
Active Sole ProprietorPOLYCARP ODOM is a In Home Supportive Care Agency healthcare provider located in ABINGDON, Maryland. NPI 1578111571 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · ABINGDON, MD
Registration Details
- NPI Number
- 1578111571
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2019 (6.9812070700505 yrs)
- Last Updated
- Sep 3, 2019
- License
-
R4455 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4050 SMITHS LANDING CTABINGDON, MD, 210091259Browse MD providers · Browse ZIP 21009
- Phone
- 4434020722
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.