Olive Branch Residential, Llc in Olive Branch - Assisted Living Facility
Olive Branch Residential, Llc - NPI 1225127426
Olive Branch Residential, Llc is a Assisted Living Facility in Olive Branch, Mississippi. Olive Branch Residential, Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Olive Branch Residential, Llc is 1225127426. The last update date is 2008-08-15.
Olive Branch Residential, Llc's current location address is 9684 Old Goodman Road, Olive Branch, Mississippi. You can contact this provider via phone number 6628957609 and fax number 6628953501. The mailing address for Olive Branch Residential, Llc is 9684 Old Goodman Road, Olive Branch, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Olive Branch Residential, Llc |
|---|---|
| Address | 9684 Old Goodman Road, Olive Branch, Mississippi |
| Phone Number | 6628957609 |
| Fax Number | 6628953501 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TREASURER |
|---|---|
| Authorized Official Name | Reiker James |
| Telephone Number | 6628957609 |
NPI Number Detail
| NPI Number | 1225127426 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2008-08-15 |
Provider Mailing Address Detail
| Address | 9684 Old Goodman Road |
|---|---|
| City | Olive Branch |
| State | Mississippi (MS) |
| Post Code | 38654 |
| Phone Number | 6628957609 |
| Fax Number | 6628953501 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
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What is the unique identifier code issued to Olive Branch Residential, Llc by the Centers for Medicare & Medicaid Services?
The Olive Branch Residential, Llc has been assigned the NPI (National Provider Identifier) 1225127426. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Olive Branch Residential, Llc's physical address?
The Olive Branch Residential, Llc is physically located at 9684 Old Goodman Road, in the city of Olive Branch, MS, with the postal code 38654.
What is the Olive Branch Residential, Llc's area of specialization and corresponding taxonomy classification?
The Olive Branch Residential, Llc's specialty field is Assisted Living Facility, and it falls under the taxonomy code 310400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225127426 to Olive Branch Residential, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1225127426 to Olive Branch Residential, Llc on 2006-10-12.
As of what date was the information regarding Olive Branch Residential, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Olive Branch Residential, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-15.
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