KHALILAH ODOM

Technician - Personal Care Attendant

Active Individual
NPI: 1376355917

Practice Address

2302 E MICHIGAN BLVD
Michigan City, IN 46360

Phone: (219) 229-4421

Specialties

Specialty Code Primary License
Home Health Aide 374U00000X No 25018545 (IN)
In Home Supportive Care 253Z00000X No 25-018545-1 (IN)
Technician - Personal Care Attendant 3747P1801X Yes -

Frequently Asked Questions

NPI 1376355917 is the National Provider Identifier for KHALILAH ODOM, a Technician - Personal Care Attendant provider located in Michigan City, IN. This NPI was enumerated on January 21, 2025.
KHALILAH ODOM practices at 2302 E MICHIGAN BLVD, Michigan City, IN 46360.

Quick Facts

NPI
1376355917
Type
Individual
Enumerated
Jan 21, 2025
Last Updated
Oct 21, 2025

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