# OLIVE BRANCH COMMUNITIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ANA Living LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093457210
- **Authorized official:** ADRIANE NELSON (CEO)
- **Authorized official phone:** (262) 342-0200

## Contact information

- **Practice address:** 515 E MAIN ST, WATERFORD, WI 53185-4428
- **Practice address phone:** (262) 342-0200
- **Mailing address:** PO BOX 532, BURLINGTON, WI 53105-0532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 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