# TONYA NICOLE OLIVER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003109489
- **Authorized official:** TONYA NICOLE OLIVER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 614-8702

## Contact information

- **Practice address:** 5494 BROWN ROAD, SUITE 111, HAZELWOOD, MO 63042
- **Practice address phone:** (314) 731-7107
- **Practice address fax:** (314) 731-7812
- **Mailing address:** 5494 BROWN ROAD, SUITE 111, HAZELWOOD, MO 63042
- **Mailing address phone:** (314) 731-7107
- **Mailing address fax:** (314) 731-7812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | MO | Yes |

## Other

- **Enumeration date:** 05/18/2011
- **Last updated:** 12/17/2012