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Organization
OLIVE HOME HEALTH, LLC
Active
Organization
OLIVE HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MILAGROS FONTANILLA (MANAGING MEMBER)
(562) 552-8048
Entity
Organization
Contact information
Practice address
5100 E ANAHEIM RD STE A-104, LONG BEACH, CA 90815-4200
(562) 552-8048
Mailing address
5100 E ANAHEIM RD STE A-104, LONG BEACH, CA 90815-4200
(562) 552-8048
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
02/09/2024
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