Provider Demographics
NPI:1154493740
Name:ODYSSEY G&M HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:ODYSSEY G&M HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING NURSE
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:NGOZI
Authorized Official - Last Name:EMETAROM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-980-1925
Mailing Address - Street 1:13207 HAVEN FALLS LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2392
Mailing Address - Country:US
Mailing Address - Phone:281-980-1925
Mailing Address - Fax:281-980-1925
Practice Address - Street 1:13207 HAVEN FALLS LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2392
Practice Address - Country:US
Practice Address - Phone:281-980-1925
Practice Address - Fax:281-980-1925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health