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CHC28362-00 ODYSSEY HOUSE LOUISIANA, INC. (Active)
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Main Details
Name
ODYSSEY HOUSE LOUISIANA, INC.
Subdivision Name
Odyssey House Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-028035
340B ID
CHC28362-00
Grant Number
H80CS28362
Additional Details
Current Program Status
Active
Registration Date
10/14/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/25/2018
Last Recertification Date
2/23/2025
Contacts
Authorizing Official
Odyssey House Louisiana
Helena Likaj, Clinic Practice Manager
(504) 913-6776
Primary Contact
Odyssey House Louisiana, Inc.
Brittanii Leigh Wade, Director of Compliance and Quality Assurance
(504) 821-9211 Ext: 7504
Addresses
Street Address
2700 S BROAD AVENUE
NEW ORLEANS, LA 70125
Billing Address
Odyssey House Louisiana
1125 N TONTI ST
NEW ORLEANS, LA 70119
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Participating from effective date (1/1/2016) until terminated effective date (04/01/2016), reinstatement effective date (01/01/2019)
10/15/2018
May 2025
May 2025
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