Organization
OLIVE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAXINE P BURCH (CEO)
(770) 895-5752
Entity
Organization
Contact information
Practice address
1257 COMMERCIAL DR SW, CONYERS, GA 30094-5991
(770) 895-5752
Mailing address
PO BOX 16404, ATLANTA, GA 30321-0404
(770) 895-5752
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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