Organization
OLIVE HOME CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GANIYU O KASUMU (CEO)
(770) 997-8949
Entity
Organization
Contact information
Practice address
808 COMMERCE BLVD, SUITE E, RIVERDALE, GA 30296-7192
(770) 997-8949
(770) 997-8909
Mailing address
808 COMMERCE BLVD, RIVERDALE, GA 30296-7192
(770) 997-8949
(770) 997-8909
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
031R0047
GA
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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