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Organization

OLIVE BRANCH COMMUNITIES LLC

Active
Other names
ANA Living LLC
Organization subpart
No

Provider details

NPI number
Authorized official
ADRIANE NELSON (CEO)
(262) 342-0200
Entity
Organization

Contact information

Practice address
515 E MAIN ST, WATERFORD, WI 53185-4428
(262) 342-0200
Mailing address
PO BOX 532, BURLINGTON, WI 53105-0532

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
311ZA0620X
Adult Care Home Facility
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
347C00000X
Private Vehicle

Other

Enumeration date
04/08/2022
Last updated
04/08/2022
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