Organization
OLIVE HOME CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GANIYU KASUMU (ADMINISTRATOR)
(770) 997-8949
Entity
Organization
Contact information
Practice address
808 COMMERCE BLVD, E, RIVERDALE, GA 30296-7192
(770) 997-8949
Mailing address
808 COMMERCE BLVD, E, RIVERDALE, GA 30296-7192
(770) 997-8949
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
031-R-0047
GA
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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