# OLIVE BRANCH HOME CARE LLC

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

## Provider details

- **NPI number:** 1467106831
- **Authorized official:** MRS. SHERRY BURBANK (OWNER)
- **Authorized official phone:** (334) 806-2903

## Contact information

- **Practice address:** 171 ST HWY 83 N STE A101, DEFUNIAK SPRINGS, FL 32433-7427
- **Practice address phone:** (850) 806-2522
- **Mailing address:** PO BOX 174, DEFUNIAK SPRINGS, FL 32435-0174
- **Mailing address phone:** (850) 806-2522
- **Mailing address fax:** (850) 513-3307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/04/2022
- **Last updated:** 06/17/2022