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Individual

KIMBERLY OLIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
45 DONALD RD, AMITY, AR 71921-9682
(606) 854-9594
Mailing address
45 DONALD RD, AMITY, AR 71921-9682
(606) 854-9594

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
311ZA0620X
Adult Care Home Facility
347C00000X
Private Vehicle
372500000X
Chore Provider
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
376J00000X
Homemaker
376K00000X
Nurse's Aide

Other

Enumeration date
03/11/2025
Last updated
03/11/2025
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