Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE ODISHOO
Active Sole ProprietorJACKIE ODISHOO is a In Home Supportive Care Agency healthcare provider located in PEORIA, Arizona. NPI 1962813931 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · PEORIA, AZ
Registration Details
- NPI Number
- 1962813931
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 13, 2014 (12.291003263029 yrs)
- Last Updated
- May 13, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
12163 N 87TH DRPEORIA, AZ, 853454132Browse AZ providers · Browse ZIP 85345
- Phone
- 6233268282
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Other In Home Supportive Care Agency Providers in PEORIA, AZ
| Name | Credential | NPI |
|---|---|---|
| VICKIE R THOMPSON | — | 1679841902 |
| KIZUWANDA MONTGOMERY | — | 1306564760 |
| MARSHA R DOKINS | OWNER | 1134001290 |
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.