Individual ProviderSandra OdameRegistered NurseNursing Service ProvidersPractice Address42 N Main St, Spring Valley, NY 10977-4906(844) 828-2666PECOS EnrollmentBased on the most recent information from CMS, provider Sandra Odame does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:54 AM.Profile DetailsProvider ID1124899851Provider TypeIndividualFull NameOdame, SandraGenderFemaleSole ProprietorYesEnumeration Date1/11/2024Last Updated1/11/2024Contact InformationPractice LocationPractice Address42 N Main St, Spring Valley, NY 10977-4906Phone(844) 828-2666FaxUnlisted FaxMailing LocationMailing Address91 Bejong Court, Montgomery, NY 12549PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense813167New York