CHANNIE LATAURUS ODAMS

CANTON, MI
NPI1740519602
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703101060)
Additional Taxonomies164W00000X Licensed Practical Nurse
(Licence: NC  71594)
164W00000X Licensed Practical Nurse
(Licence: GA  LPN090950)
171M00000X Case Manager/Care Coordinator
172A00000X Driver
372500000X Chore Provider
372600000X Adult Companion
374700000X Technician
3747A0650X Technician, Attendant Care Provider
(Licence: MI  3747A0650X)
3747P1801X Technician, Personal Care Attendant
374U00000X Home Health Aide
376J00000X Homemaker
376K00000X Nurse's Aide
Enumeration Date2009-12-23
Last Update Date2024-11-13
Business Address
CHANNIE LATAURUS ODAMS LPN
40075 EATON ST APT 203
CANTON, MI 48187-4526
Phone number: 734-521-1577
Mailing Address
CHANNIE LATAURUS ODAMS LPN
847 SUMPTER ROAD #436
BELLEVILLE, MI 48111
Phone number: 734-851-1577