Organization
OLIVER ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA OLIVER (CEO/MGR)
(252) 321-4934
Entity
Organization
Contact information
Practice address
316 W MILLBROOK RD STE 117, RALEIGH, NC 27609-4482
(919) 836-9144
Mailing address
3225 GROVESHIRE DR., RALEIGH, NC 27616
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4320
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC4320
—
NC
Enumeration date
05/23/2011
Last updated
03/18/2013
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