Most Relevant Information
Provider Data
| NPI Number: | 1003428467 |
| Provider Name: | PAMELLA OMELDA ODOMS-BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 320900000X |
| Specialty: | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/18/2020 |
| Last Updated: | 09/28/2020 |
Provider Practice Location
541 SHIRLEY DR.
APOPKA
FL
32712
Practice Location Phone/Fax
| Phone: | 4078836220 |
| Fax: |
Provider Mailing Location
541 SHIRLEY DR.
APOPKA
FL
32712
Provider Mailing Phone/Fax
| Phone: | 4078836220 |
| Fax: |