Provider Demographics
NPI:1609137157
Name:ODEMO, MARGARET (HHA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:ODEMO
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6703 GREENLAND ST
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-3061
Mailing Address - Country:US
Mailing Address - Phone:301-221-5805
Mailing Address - Fax:
Practice Address - Street 1:6703 GREENLAND ST
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-3061
Practice Address - Country:US
Practice Address - Phone:301-221-5805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide