Organization
OLIVE WELLBEING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOAM KIM LAC (PRESIDENT)
(201) 724-9684
Entity
Organization
Contact information
Practice address
191 OLIVER ST, PATERSON, NJ 07501-1818
(973) 684-8500
(973) 684-8501
Mailing address
191 OLIVER ST, PATERSON, NJ 07501-1818
(973) 684-8500
(973) 684-8501
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
25MZ00016800
NJ
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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