OrganizationActive
Senior Group LLC Dba Odessaconnect
NPI 1871326835 · Assistive Technology Supplier Audiologist · Louisville, KY
Provider details
- NPI number
- 1871326835
- Entity type
- Organization
- Primary specialty
- Assistive Technology Supplier AudiologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Stephanie Blair, Clinical Advisor(865) 242-5004
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- In Home Supportive Care Agency253Z00000X
Agencies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
720 W Main St
Louisville, KY 40202-3634
Phone: (865) 242-5004
Approximate (ZIP-level) locationGet directions
Mailing address
3917 Deerfield Rd
Knoxville, TN 37921-3213
Registry dates
- Enumerated
- 2024-08-23
- Last updated
- 2025-11-21
- Certified
- 2025-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.