Olive Branch Residential, Llc

NPI 1225127426 - Assisted Living Facility - 310400000X

NPI Details
NPI 1225127426
Enumeration Date 10/12/2006
Last Updated 08/15/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JAMES JAMES
Position TREASURER
Phone (662) 895-7609
Fax (662) 895-3501
Practice Location
9684 OLD GOODMAN ROAD
OLIVE BRANCH MS, 38654, US
Phone (662) 895-7609
Fax (662) 895-3501
Business Location
9684 OLD GOODMAN ROAD
OLIVE BRANCH MS, 38654, US
Phone (662) 895-7609
Fax (662) 895-3501
Toxanomy
Taxonomy Code 310400000X
License State
License Number
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According to our database, Olive Branch Residential, Llc NPI is 1225127426, taxonomy code is 310400000X Olive Branch Residential, Llc physically located at 9684 Old Goodman Road, Olive Branch MS, 38654. NPI Number 1033115704 has the healthcare provider type.

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1225127426 NPI number is provided on an as is basis without warranty of any kind. 1225127426 is maintained by the National Plan & Provider Enumeration System. The contents of Olive Branch Residential, Llc are for informational purposes only.