# OLIVE WELLBEING INC

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

## Provider details

- **NPI number:** 1033527791
- **Authorized official:** MR. DOAM KIM LAC (PRESIDENT)
- **Authorized official phone:** (201) 724-9684

## Contact information

- **Practice address:** 191 OLIVER ST, PATERSON, NJ 07501-1818
- **Practice address phone:** (973) 684-8500
- **Practice address fax:** (973) 684-8501
- **Mailing address:** 191 OLIVER ST, PATERSON, NJ 07501-1818
- **Mailing address phone:** (973) 684-8500
- **Mailing address fax:** (973) 684-8501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 25MZ00016800 | NJ | Yes |

## Other

- **Enumeration date:** 07/25/2014
- **Last updated:** 07/25/2014