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Organization
OLIVE BRANCH COMMUNITIES LLC
Active
Organization
OLIVE BRANCH COMMUNITIES LLC
Active
Other names
ANA Living LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANE NELSON (CEO)
(262) 342-0200
Entity
Organization
Contact information
Practice address
515 E MAIN ST, WATERFORD, WI 53185-4428
(262) 342-0200
Mailing address
PO BOX 532, BURLINGTON, WI 53105-0532
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
NULL
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
NULL
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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