# OLIVE TREE HOME

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

## Provider details

- **NPI number:** 1619292828
- **Authorized official:** MS. EULALIA VANN ELDERLY CARE (FACILITY MANAGER)
- **Authorized official phone:** (562) 432-1163

## Contact information

- **Practice address:** 1035 OLIVE AVE, LONG BEACH, CA 90813-3518
- **Practice address phone:** (562) 432-1163
- **Mailing address:** 1035 OLIVE AVE, LONG BEACH, CA 90813-3518
- **Mailing address phone:** (562) 432-1163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 197803459 | CA | Yes |

## Other

- **Enumeration date:** 03/30/2010
- **Last updated:** 03/30/2010