Individual ProviderOdile GordonCase Manager/Care CoordinatorOther Service ProvidersPractice Address330 N Jefferson Davis Pkwy, New Orleans, LA 70119-5312(504) 948-6880(504) 259-9529PECOS EnrollmentBased on the most recent information from CMS, provider Odile Gordon 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 2 days ago.Profile DetailsProvider ID1669724126Provider TypeIndividualFull NameGordon, OdileGenderFemaleSole ProprietorYesEnumeration Date10/9/2012Last Updated5/10/2018Contact InformationPractice LocationPractice Address330 N Jefferson Davis Pkwy, New Orleans, LA 70119-5312Phone(504) 948-6880FaxUnlisted FaxMailing LocationMailing Address1240 Pailet Avenue, Harvey, LA 70058-3718Phone(504) 259-9529FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense5029Louisiana